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 $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $38.02 | Professional | None | $27.54 | $27.54 | $38.02 |
BCBS South Carolina Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.98 | Professional | None | $16.22 | $16.22 | $16.98 |
Medcost Setting Facility Modifier None Typical Low $27.54 Median $30.90 Typical High $37.15 | Facility | None | $27.54 | $30.90 | $37.15 |
Medcost Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $35.48 | Professional | None | $29.51 | $29.51 | $35.48 |
United Setting Professional Modifier None Typical Low $48.98 Median $70.79 Typical High $125.89 | Professional | None | $48.98 | $70.79 | $125.89 |
7 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 $13.80 Median $13.80 Typical High $18.62 | Professional | 52 · Reduced service | $13.80 | $13.80 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $7.59 | Professional | 53 · Discontinued | $5.62 | $5.62 | $7.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.79 Median $14.79 Typical High $22.39 | Professional | 51 · Multiple procedures | $14.79 | $14.79 | $22.39 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.89 Median $5.89 Typical High $8.91 | Professional | 80 · Assistant surgeon | $5.89 | $5.89 | $8.91 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.17 Median $4.17 Typical High $6.17 | Professional | 81 · Minimal assistant surgeon | $4.17 | $4.17 | $6.17 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.17 Median $4.17 Typical High $6.17 | Professional | 82 · Assistant surgeon, no resident | $4.17 | $4.17 | $6.17 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.17 Median $4.17 Typical High $6.17 | Professional | AS · PA/NP assist | $4.17 | $4.17 | $6.17 |
Where South Carolina sits
The same service costs 19.1 times more in Nebraska than in Hawaii. 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· 50th of 51
$27.54
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.