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 $9.33 Median $9.33 Typical High $18.62 | Facility | None | $9.33 | $9.33 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $13.80 Typical High $18.62 | Professional | None | $9.33 | $13.80 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $5.75 Typical High $9.33 | Professional | 52 · Reduced service | $4.68 | $5.75 | $9.33 |
Ambetter Setting Professional Modifier None Typical Low $15.14 Median $17.78 Typical High $17.78 | Professional | None | $15.14 | $17.78 | $17.78 |
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 $11.22 Median $12.02 Typical High $22.39 | Professional | None | $11.22 | $12.02 | $22.39 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $7.76 Median $17.78 Typical High $19.95 | Professional | 29 | $7.76 | $17.78 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $15.14 |
Medcost Setting Facility Modifier None Typical Low $9.33 Median $17.78 Typical High $22.39 | Facility | None | $9.33 | $17.78 | $22.39 |
Medcost Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $22.39 | Professional | None | $16.98 | $16.98 | $22.39 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $239.88 | Professional | None | $165.96 | $165.96 | $239.88 |
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 $8.51 Median $14.45 Typical High $21.38 | Professional | None | $8.51 | $14.45 | $21.38 |
6 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $17.78 Median $17.78 Typical High $26.30 | Professional | 59 · Distinct service | $17.78 | $17.78 | $26.30 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $8.51 Median $8.51 Typical High $13.18 | Professional | 51 · Multiple procedures | $8.51 | $8.51 | $13.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.47 Median $3.47 Typical High $5.25 | Professional | 80 · Assistant surgeon | $3.47 | $3.47 | $5.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.40 Median $2.40 Typical High $3.63 | Professional | 81 · Minimal assistant surgeon | $2.40 | $2.40 | $3.63 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.40 Median $2.40 Typical High $3.63 | Professional | 82 · Assistant surgeon, no resident | $2.40 | $2.40 | $3.63 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.40 Median $2.40 Typical High $3.63 | Professional | AS · PA/NP assist | $2.40 | $2.40 | $3.63 |
Where South Carolina sits
The same service costs 2.3 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· 42nd of 51
$15.14
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.