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 $63.10 Median $63.10 Typical High $69.18 | Facility | None | $63.10 | $63.10 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $69.18 Typical High $83.18 | Professional | None | $63.10 | $69.18 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $34.67 Typical High $38.02 | Professional | 52 · Reduced service | $31.62 | $34.67 | $38.02 |
Ambetter Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $120.23 | Professional | None | $64.57 | $64.57 | $120.23 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $64.57 Median $81.28 Typical High $83.18 | Professional | 29 | $64.57 | $81.28 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $83.18 Typical High $144.54 | Professional | None | $77.62 | $83.18 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None | $158.49 | $158.49 | $158.49 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $79.43 Typical High $95.50 | Facility | None | $64.57 | $79.43 | $95.50 |
Medcost Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Molina Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $181.97 | Professional | None | $87.10 | $117.49 | $181.97 |
United Setting Facility Modifier None Typical Low $426.58 Median $512.86 Typical High $676.08 | Facility | None | $426.58 | $512.86 | $676.08 |
United Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $107.15 | Professional | None | $66.07 | $81.28 | $107.15 |
7 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 $54.95 Median $70.79 Typical High $117.49 | Professional | 25 · Same-day visit | $54.95 | $70.79 | $117.49 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 33 · Preventive service | $83.18 | $83.18 | $83.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $47.86 Median $47.86 Typical High $60.26 | Professional | 51 · Multiple procedures | $47.86 | $47.86 | $60.26 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.05 Median $19.05 Typical High $23.99 | Professional | 80 · Assistant surgeon | $19.05 | $19.05 | $23.99 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.18 Median $13.18 Typical High $16.60 | Professional | 81 · Minimal assistant surgeon | $13.18 | $13.18 | $16.60 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.18 Median $13.18 Typical High $16.60 | Professional | 82 · Assistant surgeon, no resident | $13.18 | $13.18 | $16.60 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.18 Median $13.18 Typical High $16.60 | Professional | AS · PA/NP assist | $13.18 | $13.18 | $16.60 |
Where South Carolina sits
The same service costs 2.8 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· 31st of 51
$79.43
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.