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 $36.31 Median $190.55 Typical High $10,000.00 | Facility | None | $36.31 | $190.55 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $128.82 Typical High $165.96 | Professional | None | $30.90 | $128.82 | $165.96 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $46.77 Typical High $46.77 | Professional | None | $27.54 | $46.77 | $46.77 |
BCBS South Carolina Setting Facility Modifier None Typical Low $213.80 Median $389.05 Typical High $724.44 | Facility | None | $213.80 | $389.05 | $724.44 |
BCBS South Carolina Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $181.97 | Professional | None | $25.12 | $33.11 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $87.10 Typical High $234.42 | Professional | None | $36.31 | $87.10 | $234.42 |
Medcost Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Medcost Setting Facility Modifier None Typical Low $34.67 Median $158.49 Typical High $213.80 | Facility | None | $34.67 | $158.49 | $213.80 |
Medcost Setting Professional Modifier None Typical Low $154.88 Median $223.87 Typical High $251.19 | Professional | None | $154.88 | $223.87 | $251.19 |
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 $30.90 Median $123.03 Typical High $281.84 | Professional | None | $30.90 | $123.03 | $281.84 |
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 $26.30 Median $91.20 Typical High $120.23 | Professional | 54 · Surgery only | $26.30 | $91.20 | $120.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $95.50 Median $112.20 Typical High $154.88 | Professional | 51 · Multiple procedures | $95.50 | $112.20 | $154.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.02 Median $44.67 Typical High $61.66 | Professional | 80 · Assistant surgeon | $38.02 | $44.67 | $61.66 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.92 Median $31.62 Typical High $43.65 | Professional | 81 · Minimal assistant surgeon | $26.92 | $31.62 | $43.65 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.92 Median $31.62 Typical High $43.65 | Professional | 82 · Assistant surgeon, no resident | $26.92 | $31.62 | $43.65 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.92 Median $31.62 Typical High $43.65 | Professional | AS · PA/NP assist | $26.92 | $31.62 | $43.65 |
Where South Carolina sits
The same service costs 4.7 times more in Wisconsin than in Maryland. 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· 20th of 51
$148
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.