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 $7,762.47 Typical High $21,877.62 | Facility | None | $4,265.80 | $7,762.47 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $9,120.11 | Professional | None | $295.12 | $446.68 | $9,120.11 |
BCBS South Carolina Setting Facility Modifier None Typical Low $812.83 Median $1,479.11 Typical High $2,630.27 | Facility | None | $812.83 | $1,479.11 | $2,630.27 |
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 $741.31 Median $1,148.15 Typical High $1,148.15 | Facility | None | $741.31 | $1,148.15 | $1,148.15 |
Medcost Setting Professional Modifier None Typical Low $15.85 Median $16.98 Typical High $741.31 | Professional | None | $15.85 | $16.98 | $741.31 |
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 $302.00 Median $1,122.02 Typical High $6,165.95 | Facility | None | $302.00 | $1,122.02 | $6,165.95 |
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 $7.94 Median $7.94 Typical High $7.94 | Professional | 51 · Multiple procedures | $7.94 | $7.94 | $7.94 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | 80 · Assistant surgeon | $3.24 | $3.24 | $3.24 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | 81 · Minimal assistant surgeon | $2.24 | $2.24 | $2.24 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | 82 · Assistant surgeon, no resident | $2.24 | $2.24 | $2.24 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | AS · PA/NP assist | $2.24 | $2.24 | $2.24 |
Where South Carolina sits
The same service costs 123.0 times more in Oklahoma than in Hawaii. 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· 34th of 51
$741
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.