How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $112.20 Typical High $112.20 | Professional | None | $107.15 | $112.20 | $112.20 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $218.78 | Professional | None | $19.95 | $19.95 | $218.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $162.18 | Professional | None | $134.90 | $134.90 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $109.65 Median $117.49 Typical High $151.36 | Facility | None | $109.65 | $117.49 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None | $102.33 | $102.33 | $141.25 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $117.49 Typical High $181.97 | Professional | None | $91.20 | $117.49 | $181.97 |
United Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $125.89 | Facility | None | $114.82 | $114.82 | $125.89 |
United Setting Professional Modifier None Typical Low $91.20 Median $109.65 Typical High $158.49 | Professional | None | $91.20 | $109.65 | $158.49 |
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 $51.29 Median $51.29 Typical High $79.43 | Professional | 51 · Multiple procedures | $51.29 | $51.29 | $79.43 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.42 Median $20.42 Typical High $31.62 | Professional | 80 · Assistant surgeon | $20.42 | $20.42 | $31.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.45 Median $14.45 Typical High $21.88 | Professional | 81 · Minimal assistant surgeon | $14.45 | $14.45 | $21.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.45 Median $14.45 Typical High $21.88 | Professional | 82 · Assistant surgeon, no resident | $14.45 | $14.45 | $21.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.45 Median $14.45 Typical High $21.88 | Professional | AS · PA/NP assist | $14.45 | $14.45 | $21.88 |
Where South Carolina sits
The same service costs 2.8 times more in Alaska than in Texas. 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
$110
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.