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 $194.98 Median $4,897.79 Typical High $21,877.62 | Facility | None | $194.98 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $691.83 Typical High $891.25 | Professional | None | $194.98 | $691.83 | $891.25 |
BCBS South Carolina Setting Facility Modifier None Typical Low $512.86 Median $870.96 Typical High $2,884.03 | Facility | None | $512.86 | $870.96 | $2,884.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $138.04 Median $199.53 Typical High $912.01 | Professional | None | $138.04 | $199.53 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $1,148.15 | Facility | None | $457.09 | $724.44 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $512.86 Typical High $1,174.90 | Professional | None | $204.17 | $512.86 | $1,174.90 |
Medcost Setting Facility Modifier None Typical Low $194.98 Median $489.78 Typical High $1,071.52 | Facility | None | $194.98 | $489.78 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $1,023.29 Typical High $1,047.13 | Professional | None | $707.95 | $1,023.29 | $1,047.13 |
Molina Setting Professional Modifier None Typical Low $691.83 Median $1,023.29 Typical High $1,380.38 | Professional | None | $691.83 | $1,023.29 | $1,380.38 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,511.89 Typical High $14,791.08 | Facility | None | $851.14 | $2,511.89 | $14,791.08 |
United Setting Professional Modifier None Typical Low $158.49 Median $537.03 Typical High $1,380.38 | Professional | None | $158.49 | $537.03 | $1,380.38 |
7 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 $147.91 Median $162.18 Typical High $676.08 | Professional | 54 · Surgery only | $147.91 | $162.18 | $676.08 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,380.38 Median $1,584.89 Typical High $1,949.84 | Professional | 50 · Both sides | $1,380.38 | $1,584.89 | $1,949.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $467.74 Median $524.81 Typical High $660.69 | Professional | 51 · Multiple procedures | $467.74 | $524.81 | $660.69 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $199.53 Median $208.93 Typical High $263.03 | Professional | 80 · Assistant surgeon | $199.53 | $208.93 | $263.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $141.25 Median $147.91 Typical High $181.97 | Professional | 81 · Minimal assistant surgeon | $141.25 | $147.91 | $181.97 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $141.25 Median $147.91 Typical High $181.97 | Professional | 82 · Assistant surgeon, no resident | $141.25 | $147.91 | $181.97 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $141.25 Median $147.91 Typical High $181.97 | Professional | AS · PA/NP assist | $141.25 | $147.91 | $181.97 |
Where South Carolina sits
The same service costs 4.0 times more in Wisconsin than in Nebraska. 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
$794
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.