How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $338.84 | Professional | None | $281.84 | $281.84 | $338.84 |
Ambetter Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
BCBS South Carolina Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $229.09 | Professional | None | $199.53 | $199.53 | $229.09 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $288.40 Median $416.87 Typical High $416.87 | Professional | 29 | $288.40 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $323.59 Typical High $489.78 | Professional | None | $309.03 | $323.59 | $489.78 |
Medcost Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $630.96 | Professional | None | $398.11 | $398.11 | $630.96 |
Medcost Setting Facility Modifier None Typical Low $281.84 Median $354.81 Typical High $933.25 | Facility | None | $281.84 | $354.81 | $933.25 |
Medcost Setting Professional Modifier None Typical Low $371.54 Median $380.19 Typical High $407.38 | Professional | None | $371.54 | $380.19 | $407.38 |
Molina Setting Professional Modifier None Typical Low $257.04 Median $323.59 Typical High $512.86 | Professional | None | $257.04 | $323.59 | $512.86 |
United Setting Professional Modifier None Typical Low $281.84 Median $338.84 Typical High $478.63 | Professional | None | $281.84 | $338.84 | $478.63 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $186.21 Median $190.55 Typical High $245.47 | Professional | 51 · Multiple procedures | $186.21 | $190.55 | $245.47 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $74.13 Median $77.62 Typical High $97.72 | Professional | 80 · Assistant surgeon | $74.13 | $77.62 | $97.72 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $51.29 Median $53.70 Typical High $69.18 | Professional | 81 · Minimal assistant surgeon | $51.29 | $53.70 | $69.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $51.29 Median $53.70 Typical High $69.18 | Professional | 82 · Assistant surgeon, no resident | $51.29 | $53.70 | $69.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $51.29 Median $53.70 Typical High $69.18 | Professional | AS · PA/NP assist | $51.29 | $53.70 | $69.18 |
Where South Carolina sits
The same service costs 3.4 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
South Carolina· 46th of 51
$316
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.