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 $75.86 Median $75.86 Typical High $109.65 | Facility | None | $75.86 | $75.86 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $109.65 | Professional | None | $75.86 | $91.20 | $109.65 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $44.67 Typical High $54.95 | Professional | 52 · Reduced service | $38.02 | $44.67 | $54.95 |
Ambetter Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $138.04 | Professional | None | $117.49 | $117.49 | $138.04 |
BCBS South Carolina Setting Facility Modifier None Typical Low $165.96 Median $177.83 Typical High $204.17 | Facility | None | $165.96 | $177.83 | $204.17 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $77.62 Median $128.82 Typical High $138.04 | Professional | 29 | $77.62 | $128.82 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $190.55 | Professional | None | $70.79 | $87.10 | $190.55 |
Medcost Setting Facility Modifier None Typical Low $83.18 Median $109.65 Typical High $251.19 | Facility | None | $83.18 | $109.65 | $251.19 |
Medcost Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $151.36 | Professional | None | $61.66 | $89.13 | $151.36 |
Molina Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $257.04 | Professional | None | $134.90 | $194.98 | $257.04 |
United Setting Facility Modifier None Typical Low $741.31 Median $912.01 Typical High $1,174.90 | Facility | None | $741.31 | $912.01 | $1,174.90 |
United Setting Professional Modifier None Typical Low $51.29 Median $87.10 Typical High $141.25 | Professional | None | $51.29 | $87.10 | $141.25 |
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 $30.90 Median $44.67 Typical High $95.50 | Professional | 51 · Multiple procedures | $30.90 | $44.67 | $95.50 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.30 Median $17.78 Typical High $38.02 | Professional | 80 · Assistant surgeon | $12.30 | $17.78 | $38.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.71 Median $12.30 Typical High $26.30 | Professional | 81 · Minimal assistant surgeon | $8.71 | $12.30 | $26.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.71 Median $12.30 Typical High $26.30 | Professional | 82 · Assistant surgeon, no resident | $8.71 | $12.30 | $26.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.71 Median $12.30 Typical High $26.30 | Professional | AS · PA/NP assist | $8.71 | $12.30 | $26.30 |
Where South Carolina sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 19th of 51
$110
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.