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 $32.36 Median $32.36 Typical High $35.48 | Facility | None | $32.36 | $32.36 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $32.36 Typical High $35.48 | Professional | None | $31.62 | $32.36 | $35.48 |
BCBS South Carolina Setting Facility Modifier None Typical Low $75.86 Median $120.23 Typical High $245.47 | Facility | None | $75.86 | $120.23 | $245.47 |
BCBS South Carolina Setting Professional Modifier None Typical Low $28.18 Median $35.48 Typical High $35.48 | Professional | None | $28.18 | $35.48 | $35.48 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $23.99 Median $32.36 Typical High $35.48 | Professional | 29 | $23.99 | $32.36 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Medcost Setting Facility Modifier None Typical Low $33.88 Median $38.90 Typical High $87.10 | Facility | None | $33.88 | $38.90 | $87.10 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $23.44 Typical High $39.81 | Professional | None | $15.14 | $23.44 | $39.81 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $66.07 | Professional | None | $33.11 | $42.66 | $66.07 |
United Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $251.19 | Facility | None | $158.49 | $190.55 | $251.19 |
United Setting Professional Modifier None Typical Low $27.54 Median $34.67 Typical High $52.48 | Professional | None | $27.54 | $34.67 | $52.48 |
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 $7.41 Median $11.75 Typical High $25.12 | Professional | 51 · Multiple procedures | $7.41 | $11.75 | $25.12 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.02 Median $4.68 Typical High $10.00 | Professional | 80 · Assistant surgeon | $3.02 | $4.68 | $10.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.09 Median $3.31 Typical High $7.08 | Professional | 81 · Minimal assistant surgeon | $2.09 | $3.31 | $7.08 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.09 Median $3.31 Typical High $7.08 | Professional | 82 · Assistant surgeon, no resident | $2.09 | $3.31 | $7.08 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.09 Median $3.31 Typical High $7.08 | Professional | AS · PA/NP assist | $2.09 | $3.31 | $7.08 |
Where South Carolina sits
The same service costs 2.4 times more in Alaska than in Louisiana. 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· 22nd of 51
$34.67
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.