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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $562.34 Typical High $562.34 | Professional | None | $54.95 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $27.54 Median $281.84 Typical High $281.84 | Professional | 52 · Reduced service | $27.54 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $10.96 | $112.20 | $112.20 |
BCBS South Carolina Setting Facility Modifier None Typical Low $102.33 Median $173.78 Typical High $288.40 | Facility | None | $102.33 | $173.78 | $288.40 |
BCBS South Carolina Setting Professional Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
Medcost Setting Facility Modifier None Typical Low $562.34 Median $676.08 Typical High $758.58 | Facility | None | $562.34 | $676.08 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $512.86 | Professional | None | $72.44 | $72.44 | $512.86 |
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 $52.48 Median $69.18 Typical High $89.13 | Professional | None | $52.48 | $69.18 | $89.13 |
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 $36.31 Median $36.31 Typical High $323.59 | Professional | 51 · Multiple procedures | $36.31 | $36.31 | $323.59 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.45 Median $14.45 Typical High $128.82 | Professional | 80 · Assistant surgeon | $14.45 | $14.45 | $128.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.23 Median $10.23 Typical High $89.13 | Professional | 81 · Minimal assistant surgeon | $10.23 | $10.23 | $89.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.23 Median $10.23 Typical High $89.13 | Professional | 82 · Assistant surgeon, no resident | $10.23 | $10.23 | $89.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.23 Median $10.23 Typical High $89.13 | Professional | AS · PA/NP assist | $10.23 | $10.23 | $89.13 |
Where South Carolina sits
The same service costs 31.6 times more in Montana than in New York. 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· 25th of 51
$85.11
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.