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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $42.66 | Professional | None | $38.02 | $41.69 | $42.66 |
BCBS South Carolina Setting Facility Modifier None Typical Low $14.13 Median $22.91 Typical High $38.02 | Facility | None | $14.13 | $22.91 | $38.02 |
Medcost Setting Facility Modifier None Typical Low $41.69 Median $48.98 Typical High $56.23 | Facility | None | $41.69 | $48.98 | $56.23 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $41.69 Typical High $58.88 | Professional | None | $28.84 | $41.69 | $58.88 |
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 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 $40.74 Median $53.70 Typical High $81.28 | Professional | None | $40.74 | $53.70 | $81.28 |
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 $14.45 Median $20.89 Typical High $38.90 | Professional | 51 · Multiple procedures | $14.45 | $20.89 | $38.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.89 Median $8.32 Typical High $15.49 | Professional | 80 · Assistant surgeon | $5.89 | $8.32 | $15.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.07 Median $5.89 Typical High $10.96 | Professional | 81 · Minimal assistant surgeon | $4.07 | $5.89 | $10.96 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.07 Median $5.89 Typical High $10.96 | Professional | 82 · Assistant surgeon, no resident | $4.07 | $5.89 | $10.96 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.07 Median $5.89 Typical High $10.96 | Professional | AS · PA/NP assist | $4.07 | $5.89 | $10.96 |
Where South Carolina sits
The same service costs 11.0 times more in Nebraska than in Rhode Island. 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
$41.69
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.