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 $66.07 Median $66.07 Typical High $69.18 | Facility | None | $66.07 | $66.07 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $66.07 Typical High $69.18 | Professional | None | $64.57 | $66.07 | $69.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $75.86 Median $123.03 Typical High $263.03 | Facility | None | $75.86 | $123.03 | $263.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $53.70 Median $66.07 Typical High $66.07 | Professional | None | $53.70 | $66.07 | $66.07 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $47.86 Median $64.57 Typical High $66.07 | Professional | 29 | $47.86 | $64.57 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $75.86 Typical High $177.83 | Facility | None | $69.18 | $75.86 | $177.83 |
Medcost Setting Professional Modifier None Typical Low $29.51 Median $45.71 Typical High $79.43 | Professional | None | $29.51 | $45.71 | $79.43 |
Molina Setting Professional Modifier None Typical Low $63.10 Median $77.62 Typical High $125.89 | Professional | None | $63.10 | $77.62 | $125.89 |
United Setting Facility Modifier None Typical Low $741.31 Median $912.01 Typical High $1,174.90 | Facility | None | $741.31 | $912.01 | $1,174.90 |
United Setting Professional Modifier None Typical Low $52.48 Median $66.07 Typical High $102.33 | Professional | None | $52.48 | $66.07 | $102.33 |
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 $14.79 Median $22.91 Typical High $48.98 | Professional | 51 · Multiple procedures | $14.79 | $22.91 | $48.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.03 Median $9.33 Typical High $19.50 | Professional | 80 · Assistant surgeon | $6.03 | $9.33 | $19.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.17 Median $6.46 Typical High $13.80 | Professional | 81 · Minimal assistant surgeon | $4.17 | $6.46 | $13.80 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.17 Median $6.46 Typical High $13.80 | Professional | 82 · Assistant surgeon, no resident | $4.17 | $6.46 | $13.80 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.17 Median $6.46 Typical High $13.80 | Professional | AS · PA/NP assist | $4.17 | $6.46 | $13.80 |
Where South Carolina sits
The same service costs 2.6 times more in Alaska than in Oklahoma. 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· 26th of 51
$66.07
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.