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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $100.00 | Professional | None | $95.50 | $95.50 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $95.50 Median $114.82 Typical High $131.83 | Facility | None | $95.50 | $114.82 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $69.18 Typical High $117.49 | Professional | None | $67.61 | $69.18 | $117.49 |
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 $83.18 Median $107.15 Typical High $162.18 | Professional | None | $83.18 | $107.15 | $162.18 |
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 $33.88 Median $34.67 Typical High $72.44 | Professional | 51 · Multiple procedures | $33.88 | $34.67 | $72.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.80 Median $13.80 Typical High $29.51 | Professional | 80 · Assistant surgeon | $13.80 | $13.80 | $29.51 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.55 Median $9.77 Typical High $20.42 | Professional | 81 · Minimal assistant surgeon | $9.55 | $9.77 | $20.42 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.55 Median $9.77 Typical High $20.42 | Professional | 82 · Assistant surgeon, no resident | $9.55 | $9.77 | $20.42 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.55 Median $9.77 Typical High $20.42 | Professional | AS · PA/NP assist | $9.55 | $9.77 | $20.42 |
Where South Carolina sits
The same service costs 9.1 times more in Wyoming than in Ohio. 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· 21st of 51
$95.50
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.