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 $4,265.80 Median $10,000.00 Typical High $25,118.86 | Facility | None | $4,265.80 | $10,000.00 | $25,118.86 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,096.48 Typical High $9,120.11 | Professional | None | $1,000.00 | $1,096.48 | $9,120.11 |
BCBS South Carolina Setting Facility Modifier None Typical Low $4,265.80 Median $7,244.36 Typical High $13,182.57 | Facility | None | $4,265.80 | $7,244.36 | $13,182.57 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $794.33 Typical High $1,905.46 | Facility | None | $100.00 | $794.33 | $1,905.46 |
Medcost Setting Facility Modifier None Typical Low $1,621.81 Median $2,570.40 Typical High $2,570.40 | Facility | None | $1,621.81 | $2,570.40 | $2,570.40 |
Medcost Setting Professional Modifier None Typical Low $1,621.81 Median $2,041.74 Typical High $2,137.96 | Professional | None | $1,621.81 | $2,041.74 | $2,137.96 |
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 $83.18 Median $446.68 Typical High $2,238.72 | Facility | None | $83.18 | $446.68 | $2,238.72 |
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 50 · Both sides Typical Low $3,019.95 Median $3,019.95 Typical High $3,311.31 | Professional | 50 · Both sides | $3,019.95 | $3,019.95 | $3,311.31 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,000.00 Median $1,000.00 Typical High $1,096.48 | Professional | 51 · Multiple procedures | $1,000.00 | $1,000.00 | $1,096.48 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $407.38 Median $407.38 Typical High $436.52 | Professional | 80 · Assistant surgeon | $407.38 | $407.38 | $436.52 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $281.84 Median $281.84 Typical High $309.03 | Professional | 81 · Minimal assistant surgeon | $281.84 | $281.84 | $309.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $281.84 Median $281.84 Typical High $309.03 | Professional | 82 · Assistant surgeon, no resident | $281.84 | $281.84 | $309.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $281.84 Median $281.84 Typical High $309.03 | Professional | AS · PA/NP assist | $281.84 | $281.84 | $309.03 |
Where South Carolina sits
The same service costs 72.4 times more in Alaska than in Montana. 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· 12th of 51
$2,570
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.