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 $1,318.26 Median $10,000.00 Typical High $21,877.62 | Facility | None | $1,318.26 | $10,000.00 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,096.48 | $1,318.26 | $1,318.26 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,023.29 Median $1,071.52 Typical High $1,174.90 | Professional | None | $1,023.29 | $1,071.52 | $1,174.90 |
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 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,096.48 Typical High $1,778.28 | Professional | None | $1,071.52 | $1,096.48 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $1,318.26 Median $1,412.54 Typical High $2,570.40 | Professional | None | $1,318.26 | $1,412.54 | $2,570.40 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,778.28 | Facility | None | $724.44 | $724.44 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $1,258.93 Median $1,288.25 Typical High $1,445.44 | Professional | None | $1,258.93 | $1,288.25 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $114.82 Median $1,071.52 Typical High $1,737.80 | Professional | None | $114.82 | $1,071.52 | $1,737.80 |
United Setting Facility Modifier None Typical Low $416.87 Median $1,258.93 Typical High $8,709.64 | Facility | None | $416.87 | $1,258.93 | $8,709.64 |
United Setting Professional Modifier None Typical Low $912.01 Median $1,122.02 Typical High $1,862.09 | Professional | None | $912.01 | $1,122.02 | $1,862.09 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $758.58 Median $912.01 Typical High $912.01 | Professional | 78 · Unplanned return to OR | $758.58 | $912.01 | $912.01 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $645.65 Median $660.69 Typical High $794.33 | Professional | 51 · Multiple procedures | $645.65 | $660.69 | $794.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $257.04 Median $269.15 Typical High $316.23 | Professional | 80 · Assistant surgeon | $257.04 | $269.15 | $316.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $181.97 Median $186.21 Typical High $223.87 | Professional | 81 · Minimal assistant surgeon | $181.97 | $186.21 | $223.87 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $181.97 Median $186.21 Typical High $223.87 | Professional | 82 · Assistant surgeon, no resident | $181.97 | $186.21 | $223.87 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $186.21 Typical High $223.87 | Professional | AS · PA/NP assist | $181.97 | $186.21 | $223.87 |
Where South Carolina sits
The same service costs 5.8 times more in Alaska than in Texas. 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· 41st of 51
$1,122
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.