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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.92 Typical High $26.92 | Professional | None | $26.30 | $26.92 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.91 | Professional | None | $22.39 | $22.39 | $22.91 |
BCBS South Carolina Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
BCBS South Carolina Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Medcost Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $38.02 | Professional | None | $31.62 | $31.62 | $38.02 |
Medcost Setting Facility Modifier None Typical Low $25.70 Median $26.92 Typical High $36.31 | Facility | None | $25.70 | $26.92 | $36.31 |
Medcost Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $33.11 | Professional | None | $24.55 | $24.55 | $33.11 |
Molina Setting Professional Modifier None Typical Low $32.36 Median $41.69 Typical High $64.57 | Professional | None | $32.36 | $41.69 | $64.57 |
United Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $30.20 | Facility | None | $27.54 | $27.54 | $30.20 |
United Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $36.31 | Professional | None | $21.38 | $25.70 | $36.31 |
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 $12.02 Median $12.02 Typical High $19.05 | Professional | 51 · Multiple procedures | $12.02 | $12.02 | $19.05 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.90 Median $4.90 Typical High $7.59 | Professional | 80 · Assistant surgeon | $4.90 | $4.90 | $7.59 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.39 Median $3.39 Typical High $5.37 | Professional | 81 · Minimal assistant surgeon | $3.39 | $3.39 | $5.37 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.39 Median $3.39 Typical High $5.37 | Professional | 82 · Assistant surgeon, no resident | $3.39 | $3.39 | $5.37 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.39 Median $3.39 Typical High $5.37 | Professional | AS · PA/NP assist | $3.39 | $3.39 | $5.37 |
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· 33rd of 51
$26.30
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.