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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $134.90 | Professional | None | $120.23 | $131.83 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $208.93 | Professional | None | $125.89 | $125.89 | $208.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $151.36 Median $158.49 Typical High $169.82 | Professional | None | $151.36 | $158.49 | $169.82 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $114.82 Median $131.83 Typical High $169.82 | Professional | 29 | $114.82 | $131.83 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Medcost Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $177.83 | Professional | None | $125.89 | $125.89 | $177.83 |
Molina Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $257.04 | Professional | None | $131.83 | $165.96 | $257.04 |
United Setting Professional Modifier None Typical Low $112.20 Median $131.83 Typical High $229.09 | Professional | None | $112.20 | $131.83 | $229.09 |
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 $63.10 Median $63.10 Typical High $93.33 | Professional | 51 · Multiple procedures | $63.10 | $63.10 | $93.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.12 Median $25.12 Typical High $38.02 | Professional | 80 · Assistant surgeon | $25.12 | $25.12 | $38.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.78 Median $17.78 Typical High $26.30 | Professional | 81 · Minimal assistant surgeon | $17.78 | $17.78 | $26.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.78 Median $17.78 Typical High $26.30 | Professional | 82 · Assistant surgeon, no resident | $17.78 | $17.78 | $26.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.78 Median $17.78 Typical High $26.30 | Professional | AS · PA/NP assist | $17.78 | $17.78 | $26.30 |
Where South Carolina sits
The same service costs 2.6 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· 33rd of 51
$135
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.