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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $72.44 | Professional | None | $60.26 | $60.26 | $72.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.20 Median $30.20 Typical High $35.48 | Professional | 52 · Reduced service | $30.20 | $30.20 | $35.48 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $61.66 Median $72.44 Typical High $75.86 | Professional | 29 | $61.66 | $72.44 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $74.13 Typical High $123.03 | Professional | None | $70.79 | $74.13 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Medcost Setting Facility Modifier None Typical Low $60.26 Median $72.44 Typical High $85.11 | Facility | None | $60.26 | $72.44 | $85.11 |
Medcost Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $77.62 Typical High $120.23 | Professional | None | $58.88 | $77.62 | $120.23 |
United Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $97.72 | Professional | None | $60.26 | $72.44 | $97.72 |
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 $67.61 Median $67.61 Typical High $67.61 | Professional | 25 · Same-day visit | $67.61 | $67.61 | $67.61 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $41.69 Median $41.69 Typical High $51.29 | Professional | 51 · Multiple procedures | $41.69 | $41.69 | $51.29 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.60 Median $16.60 Typical High $20.89 | Professional | 80 · Assistant surgeon | $16.60 | $16.60 | $20.89 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.48 Median $11.48 Typical High $14.45 | Professional | 81 · Minimal assistant surgeon | $11.48 | $11.48 | $14.45 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.48 Median $11.48 Typical High $14.45 | Professional | 82 · Assistant surgeon, no resident | $11.48 | $11.48 | $14.45 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.48 Median $11.48 Typical High $14.45 | Professional | AS · PA/NP assist | $11.48 | $11.48 | $14.45 |
Where South Carolina sits
The same service costs 3.0 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· 30th of 51
$72.44
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.