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 $117.49 Median $169.82 Typical High $263.03 | Facility | None | $117.49 | $169.82 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $173.78 | Professional | None | $117.49 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $70.79 Typical High $85.11 | Professional | 52 · Reduced service | $58.88 | $70.79 | $85.11 |
Ambetter Setting Professional Modifier None Typical Low $131.83 Median $177.83 Typical High $331.13 | Professional | None | $131.83 | $177.83 | $331.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $131.83 Median $223.87 Typical High $416.87 | Facility | None | $131.83 | $223.87 | $416.87 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $100.00 Median $120.23 Typical High $208.93 | Professional | 29 | $100.00 | $120.23 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $169.82 Typical High $257.04 | Professional | None | $141.25 | $169.82 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $128.82 Median $169.82 Typical High $389.05 | Facility | None | $128.82 | $169.82 | $389.05 |
Medcost Setting Professional Modifier None Typical Low $123.03 Median $154.88 Typical High $234.42 | Professional | None | $123.03 | $154.88 | $234.42 |
Molina Setting Professional Modifier None Typical Low $234.42 Median $323.59 Typical High $446.68 | Professional | None | $234.42 | $323.59 | $446.68 |
United Setting Facility Modifier None Typical Low $562.34 Median $676.08 Typical High $891.25 | Facility | None | $562.34 | $676.08 | $891.25 |
United Setting Professional Modifier None Typical Low $112.20 Median $165.96 Typical High $269.15 | Professional | None | $112.20 | $165.96 | $269.15 |
6 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $169.82 Median $208.93 Typical High $208.93 | Professional | 25 · Same-day visit | $169.82 | $208.93 | $208.93 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $61.66 Median $77.62 Typical High $144.54 | Professional | 51 · Multiple procedures | $61.66 | $77.62 | $144.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $24.55 Median $31.62 Typical High $58.88 | Professional | 80 · Assistant surgeon | $24.55 | $31.62 | $58.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.38 Median $21.88 Typical High $40.74 | Professional | 81 · Minimal assistant surgeon | $17.38 | $21.88 | $40.74 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.38 Median $21.88 Typical High $40.74 | Professional | 82 · Assistant surgeon, no resident | $17.38 | $21.88 | $40.74 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.38 Median $21.88 Typical High $40.74 | Professional | AS · PA/NP assist | $17.38 | $21.88 | $40.74 |
Where South Carolina sits
The same service costs 2.8 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· 20th of 51
$170
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.