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 $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $25.12 | Professional | None | $11.48 | $11.48 | $25.12 |
Medcost Setting Facility Modifier None Typical Low $8.51 Median $11.48 Typical High $15.49 | Facility | None | $8.51 | $11.48 | $15.49 |
Medcost Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $22.91 | Professional | None | $9.12 | $9.12 | $22.91 |
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 $7.41 Median $10.96 Typical High $19.50 | Professional | None | $7.41 | $10.96 | $19.50 |
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 $4.57 Median $4.57 Typical High $16.22 | Professional | 51 · Multiple procedures | $4.57 | $4.57 | $16.22 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1.82 Median $1.82 Typical High $6.46 | Professional | 80 · Assistant surgeon | $1.82 | $1.82 | $6.46 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.26 Median $1.26 Typical High $4.57 | Professional | 81 · Minimal assistant surgeon | $1.26 | $1.26 | $4.57 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.26 Median $1.26 Typical High $4.57 | Professional | 82 · Assistant surgeon, no resident | $1.26 | $1.26 | $4.57 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.26 Median $1.26 Typical High $4.57 | Professional | AS · PA/NP assist | $1.26 | $1.26 | $4.57 |
Where South Carolina sits
The same service costs 7.9 times more in California than in Arkansas. 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· 39th of 51
$11.48
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.