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 $50.12 Median $173.78 Typical High $10,000.00 | Facility | None | $50.12 | $173.78 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $102.33 Typical High $165.96 | Professional | None | $42.66 | $102.33 | $165.96 |
Ambetter Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
BCBS South Carolina Setting Facility Modifier None Typical Low $331.13 Median $549.54 Typical High $1,047.13 | Facility | None | $331.13 | $549.54 | $1,047.13 |
BCBS South Carolina Setting Professional Modifier None Typical Low $29.51 Median $109.65 Typical High $151.36 | Professional | None | $29.51 | $109.65 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $131.83 Typical High $190.55 | Professional | None | $51.29 | $131.83 | $190.55 |
Medcost Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
Medcost Setting Facility Modifier None Typical Low $44.67 Median $114.82 Typical High $223.87 | Facility | None | $44.67 | $114.82 | $223.87 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $213.80 | Professional | None | $134.90 | $190.55 | $213.80 |
Molina Setting Professional Modifier None Typical Low $131.83 Median $173.78 Typical High $251.19 | Professional | None | $131.83 | $173.78 | $251.19 |
United Setting Facility Modifier None Typical Low $446.68 Median $1,230.27 Typical High $2,951.21 | Facility | None | $446.68 | $1,230.27 | $2,951.21 |
United Setting Professional Modifier None Typical Low $38.90 Median $114.82 Typical High $208.93 | Professional | None | $38.90 | $114.82 | $208.93 |
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 $208.93 Median $302.00 Typical High $371.54 | Professional | 50 · Both sides | $208.93 | $302.00 | $371.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $70.79 Median $100.00 Typical High $123.03 | Professional | 51 · Multiple procedures | $70.79 | $100.00 | $123.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $28.18 Median $40.74 Typical High $48.98 | Professional | 80 · Assistant surgeon | $28.18 | $40.74 | $48.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.50 Median $28.18 Typical High $34.67 | Professional | 81 · Minimal assistant surgeon | $19.50 | $28.18 | $34.67 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.50 Median $28.18 Typical High $34.67 | Professional | 82 · Assistant surgeon, no resident | $19.50 | $28.18 | $34.67 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.50 Median $28.18 Typical High $34.67 | Professional | AS · PA/NP assist | $19.50 | $28.18 | $34.67 |
Where South Carolina sits
The same service costs 3.4 times more in Wisconsin than in Nebraska. 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· 10th of 51
$141
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.