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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $1,949.84 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,949.84 | $2,041.74 | $2,041.74 |
BCBS South Carolina Setting Professional Modifier None Typical Low $117.49 Median $147.91 Typical High $2,398.83 | Professional | None | $117.49 | $147.91 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $223.87 Typical High $309.03 | Facility | None | $144.54 | $223.87 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Medcost Setting Facility Modifier None Typical Low $2,041.74 Median $2,398.83 Typical High $5,754.40 | Facility | None | $2,041.74 | $2,398.83 | $5,754.40 |
Medcost Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $2,570.40 | Professional | None | $1,348.96 | $1,348.96 | $2,570.40 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $125.89 | Professional | None | $107.15 | $125.89 | $125.89 |
9 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $977.24 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $977.24 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $389.05 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $295.12 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $295.12 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $194.98 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $194.98 | $204.17 | $204.17 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $676.08 Median $676.08 Typical High $1,778.28 | Professional | 51 · Multiple procedures | $676.08 | $676.08 | $1,778.28 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $269.15 Median $269.15 Typical High $707.95 | Professional | 80 · Assistant surgeon | $269.15 | $269.15 | $707.95 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $186.21 Median $186.21 Typical High $489.78 | Professional | 81 · Minimal assistant surgeon | $186.21 | $186.21 | $489.78 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $186.21 Median $186.21 Typical High $489.78 | Professional | 82 · Assistant surgeon, no resident | $186.21 | $186.21 | $489.78 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $186.21 Median $186.21 Typical High $489.78 | Professional | AS · PA/NP assist | $186.21 | $186.21 | $489.78 |
Where South Carolina sits
The same service costs 19.5 times more in Alaska than in North Carolina. 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· 36th of 51
$148
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.