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 $23.44 Median $23.44 Typical High $26.30 | Facility | None | $23.44 | $23.44 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $26.30 | Professional | None | $23.44 | $23.44 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.75 Median $11.75 Typical High $12.88 | Professional | 52 · Reduced service | $11.75 | $11.75 | $12.88 |
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 $26.30 Median $28.84 Typical High $32.36 | Professional | None | $26.30 | $28.84 | $32.36 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $25.12 Median $30.20 Typical High $33.11 | Professional | 29 | $25.12 | $30.20 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Medcost Setting Facility Modifier None Typical Low $23.99 Median $26.30 Typical High $61.66 | Facility | None | $23.99 | $26.30 | $61.66 |
Medcost Setting Professional Modifier None Typical Low $16.98 Median $17.38 Typical High $29.51 | Professional | None | $16.98 | $17.38 | $29.51 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $66.07 | Professional | None | $33.11 | $42.66 | $66.07 |
United Setting Facility Modifier None Typical Low $426.58 Median $512.86 Typical High $676.08 | Facility | None | $426.58 | $512.86 | $676.08 |
United Setting Professional Modifier None Typical Low $21.88 Median $26.92 Typical High $42.66 | Professional | None | $21.88 | $26.92 | $42.66 |
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 $27.54 Median $27.54 Typical High $27.54 | Professional | 59 · Distinct service | $27.54 | $27.54 | $27.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $8.51 Median $8.71 Typical High $18.62 | Professional | 51 · Multiple procedures | $8.51 | $8.71 | $18.62 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.39 Median $3.47 Typical High $7.41 | Professional | 80 · Assistant surgeon | $3.39 | $3.47 | $7.41 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.34 Median $2.40 Typical High $5.13 | Professional | 81 · Minimal assistant surgeon | $2.34 | $2.40 | $5.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.34 Median $2.40 Typical High $5.13 | Professional | 82 · Assistant surgeon, no resident | $2.34 | $2.40 | $5.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.34 Median $2.40 Typical High $5.13 | Professional | AS · PA/NP assist | $2.34 | $2.40 | $5.13 |
Where South Carolina sits
The same service costs 2.8 times more in North Dakota than in New Mexico. 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· 30th of 51
$25.70
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.