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 $138.04 Median $5,623.41 Typical High $21,877.62 | Facility | None | $138.04 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $138.04 | Professional | None | $117.49 | $138.04 | $138.04 |
BCBS South Carolina Setting Facility Modifier None Typical Low $501.19 Median $794.33 Typical High $6,606.93 | Facility | None | $501.19 | $794.33 | $6,606.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $102.33 Median $125.89 Typical High $134.90 | Professional | None | $102.33 | $125.89 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $851.14 Typical High $1,905.46 | Facility | None | $549.54 | $851.14 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $194.98 | Professional | None | $125.89 | $125.89 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $173.78 Typical High $275.42 | Professional | None | $162.18 | $173.78 | $275.42 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $724.44 Typical High $741.31 | Facility | None | $131.83 | $724.44 | $741.31 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $147.91 Typical High $165.96 | Professional | None | $134.90 | $147.91 | $165.96 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $123.03 Typical High $190.55 | Professional | None | $91.20 | $123.03 | $190.55 |
United Setting Facility Modifier None Typical Low $512.86 Median $1,479.11 Typical High $8,511.38 | Facility | None | $512.86 | $1,479.11 | $8,511.38 |
United Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $208.93 | Professional | None | $100.00 | $120.23 | $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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $104.71 Typical High $104.71 | Professional | 54 · Surgery only | $87.10 | $104.71 | $104.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $72.44 Median $75.86 Typical High $83.18 | Professional | 51 · Multiple procedures | $72.44 | $75.86 | $83.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $29.51 Median $30.20 Typical High $33.88 | Professional | 80 · Assistant surgeon | $29.51 | $30.20 | $33.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $20.42 Median $21.38 Typical High $23.44 | Professional | 81 · Minimal assistant surgeon | $20.42 | $21.38 | $23.44 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $20.42 Median $21.38 Typical High $23.44 | Professional | 82 · Assistant surgeon, no resident | $20.42 | $21.38 | $23.44 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $20.42 Median $21.38 Typical High $23.44 | Professional | AS · PA/NP assist | $20.42 | $21.38 | $23.44 |
Where South Carolina sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 35th of 51
$135
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.