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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $239.88 | Professional | None | $229.09 | $229.09 | $239.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $489.78 Median $707.95 Typical High $870.96 | Facility | None | $489.78 | $707.95 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $851.14 Typical High $1,698.24 | Facility | None | $602.56 | $851.14 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,230.27 | $1,230.27 | $1,230.27 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $275.42 Typical High $1,230.27 | Facility | None | $229.09 | $275.42 | $1,230.27 |
Medcost Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $275.42 | Professional | None | $239.88 | $239.88 | $275.42 |
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 $512.86 Median $1,479.11 Typical High $8,511.38 | Facility | None | $512.86 | $1,479.11 | $8,511.38 |
United Setting Professional Modifier None Typical Low $218.78 Median $263.03 Typical High $489.78 | Professional | None | $218.78 | $263.03 | $489.78 |
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 $120.23 Median $120.23 Typical High $173.78 | Professional | 51 · Multiple procedures | $120.23 | $120.23 | $173.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $47.86 Median $47.86 Typical High $69.18 | Professional | 80 · Assistant surgeon | $47.86 | $47.86 | $69.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.88 Median $33.88 Typical High $48.98 | Professional | 81 · Minimal assistant surgeon | $33.88 | $33.88 | $48.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.88 Median $33.88 Typical High $48.98 | Professional | 82 · Assistant surgeon, no resident | $33.88 | $33.88 | $48.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.88 Median $33.88 Typical High $48.98 | Professional | AS · PA/NP assist | $33.88 | $33.88 | $48.98 |
Where South Carolina sits
The same service costs 4.7 times more in Alaska than in Pennsylvania. 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· 48th of 51
$245
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.