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 $24,547.09 | Facility | None | $4,265.80 | $10,000.00 | $24,547.09 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $588.84 Typical High $15,135.61 | Professional | None | $295.12 | $588.84 | $15,135.61 |
BCBS South Carolina Setting Facility Modifier None Typical Low $5,370.32 Median $9,120.11 Typical High $16,595.87 | Facility | None | $5,370.32 | $9,120.11 | $16,595.87 |
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 Professional Modifier None Typical Low $1,949.84 Median $3,090.30 Typical High $3,090.30 | Professional | None | $1,949.84 | $3,090.30 | $3,090.30 |
Molina Setting Professional Modifier None Typical Low $426.58 Median $446.68 Typical High $512.86 | Professional | None | $426.58 | $446.68 | $512.86 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $24,547.09 | Facility | None | $1,445.44 | $4,265.80 | $24,547.09 |
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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,951.21 Median $4,570.88 Typical High $4,570.88 | Professional | 50 · Both sides | $2,951.21 | $4,570.88 | $4,570.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $977.24 Median $1,513.56 Typical High $1,513.56 | Professional | 51 · Multiple procedures | $977.24 | $1,513.56 | $1,513.56 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $389.05 Median $616.60 Typical High $616.60 | Professional | 80 · Assistant surgeon | $389.05 | $616.60 | $616.60 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $275.42 Median $426.58 Typical High $426.58 | Professional | 81 · Minimal assistant surgeon | $275.42 | $426.58 | $426.58 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $275.42 Median $426.58 Typical High $426.58 | Professional | 82 · Assistant surgeon, no resident | $275.42 | $426.58 | $426.58 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $275.42 Median $426.58 Typical High $426.58 | Professional | AS · PA/NP assist | $275.42 | $426.58 | $426.58 |
Where South Carolina sits
The same service costs 169.8 times more in Colorado than in New Mexico. 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· 31st of 51
$3,090
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.