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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None (both parts) | $14.45 | $14.45 | $14.45 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2.63 Median $8.32 Typical High $17.78 | Facility | None | $2.63 | $8.32 | $17.78 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $2.09 Median $2.40 Typical High $2.45 | Professional | None (both parts) | $2.09 | $2.40 | $2.45 |
Cigna Setting Facility Modifier None Typical Low $2.29 Median $3.89 Typical High $5.01 | Facility | None | $2.29 | $3.89 | $5.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | None (both parts) | $2.04 | $2.04 | $2.04 |
Medcost Setting Facility Modifier None Typical Low $2.95 Median $15.85 Typical High $19.50 | Facility | None | $2.95 | $15.85 | $19.50 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1.70 Median $1.70 Typical High $2.40 | Professional | None (both parts) | $1.70 | $1.70 | $2.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $1.86 Median $1.86 Typical High $3.98 | Facility | None | $1.86 | $1.86 | $3.98 |
8 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 26 · Professional part Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | 26 · Professional part | $0.68 | $0.68 | $0.68 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | 50 · Both sides | $2.57 | $2.57 | $2.57 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | 51 · Multiple procedures | $0.85 | $0.85 | $0.85 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $0.34 Median $0.34 Typical High $0.34 | Professional | 80 · Assistant surgeon | $0.34 | $0.34 | $0.34 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.24 Median $0.24 Typical High $0.24 | Professional | 81 · Minimal assistant surgeon | $0.24 | $0.24 | $0.24 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.24 Median $0.24 Typical High $0.24 | Professional | 82 · Assistant surgeon, no resident | $0.24 | $0.24 | $0.24 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.24 Median $0.24 Typical High $0.24 | Professional | AS · PA/NP assist | $0.24 | $0.24 | $0.24 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1.02 Median $1.02 Typical High $1.02 | Professional | TC · Technical part | $1.02 | $1.02 | $1.02 |
Where South Carolina sits
The same service costs 21.4 times more in Kentucky than in Arkansas. 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· 35th of 51
$2.09
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.