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 $7.76 Median $7.76 Typical High $7.76 | Facility | None | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $7.76 Median $7.76 Typical High $7.94 | Professional | None (both parts) | $7.76 | $7.76 | $7.94 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $7.76 Typical High $8.32 | Professional | TC · Technical part | $7.76 | $7.76 | $8.32 |
Medcost Setting Facility Modifier None Typical Low $7.76 Median $8.51 Typical High $10.47 | Facility | None | $7.76 | $8.51 | $10.47 |
Medcost Setting Professional Modifier None (both parts) Typical Low $8.13 Median $8.13 Typical High $21.38 | Professional | None (both parts) | $8.13 | $8.13 | $21.38 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $8.13 Typical High $21.38 | Professional | TC · Technical part | $8.13 | $8.13 | $21.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None (both parts) Typical Low $7.76 Median $10.00 Typical High $16.98 | Professional | None (both parts) | $7.76 | $10.00 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $10.00 Typical High $17.38 | Professional | TC · Technical part | $7.76 | $10.00 | $17.38 |
6 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 26 · Professional part Typical Low $3.24 Median $3.24 Typical High $7.08 | Professional | 26 · Professional part | $3.24 | $3.24 | $7.08 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $3.98 Median $3.98 Typical High $12.88 | Professional | 51 · Multiple procedures | $3.98 | $3.98 | $12.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1.62 Median $1.62 Typical High $5.13 | Professional | 80 · Assistant surgeon | $1.62 | $1.62 | $5.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.12 Median $1.12 Typical High $3.55 | Professional | 81 · Minimal assistant surgeon | $1.12 | $1.12 | $3.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.12 Median $1.12 Typical High $3.55 | Professional | 82 · Assistant surgeon, no resident | $1.12 | $1.12 | $3.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.12 Median $1.12 Typical High $3.55 | Professional | AS · PA/NP assist | $1.12 | $1.12 | $3.55 |
Where South Carolina sits
The same service costs 10.5 times more in California than in Mississippi. 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· 46th of 51
$8.51
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.