How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $18.62 Median $24.55 Typical High $35.48 | Facility | None | $18.62 | $24.55 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $26.30 Typical High $39.81 | Professional | None | $18.62 | $26.30 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $17.78 Typical High $18.20 | Professional | 52 · Reduced service | $12.30 | $17.78 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $63.10 | Professional | None | $41.69 | $46.77 | $63.10 |
BCBS South Carolina Setting Facility Modifier None Typical Low $28.18 Median $38.02 Typical High $89.13 | Facility | None | $28.18 | $38.02 | $89.13 |
BCBS South Carolina Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $33.88 Median $45.71 Typical High $54.95 | Professional | 29 | $33.88 | $45.71 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $46.77 Typical High $64.57 | Professional | None | $33.11 | $46.77 | $64.57 |
Medcost Setting Facility Modifier None Typical Low $27.54 Median $35.48 Typical High $123.03 | Facility | None | $27.54 | $35.48 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $52.48 | Professional | None | $35.48 | $37.15 | $52.48 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $77.62 Typical High $125.89 | Professional | None | $63.10 | $77.62 | $125.89 |
United Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $251.19 | Facility | None | $158.49 | $190.55 | $251.19 |
United Setting Professional Modifier None Typical Low $31.62 Median $48.98 Typical High $64.57 | Professional | None | $31.62 | $48.98 | $64.57 |
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 $17.78 Median $18.62 Typical High $30.90 | Professional | 51 · Multiple procedures | $17.78 | $18.62 | $30.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.08 Median $7.41 Typical High $12.30 | Professional | 80 · Assistant surgeon | $7.08 | $7.41 | $12.30 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.90 Median $5.13 Typical High $8.51 | Professional | 81 · Minimal assistant surgeon | $4.90 | $5.13 | $8.51 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.90 Median $5.13 Typical High $8.51 | Professional | 82 · Assistant surgeon, no resident | $4.90 | $5.13 | $8.51 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.90 Median $5.13 Typical High $8.51 | Professional | AS · PA/NP assist | $4.90 | $5.13 | $8.51 |
Where South Carolina sits
The same service costs 2.6 times more in North Dakota than in Oklahoma. 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· 49th of 51
$30.20
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.