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 $44.67 Median $4,897.79 Typical High $21,877.62 | Facility | None | $44.67 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $51.29 Typical High $75.86 | Professional | None | $42.66 | $51.29 | $75.86 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
BCBS South Carolina Setting Professional Modifier None Typical Low $33.88 Median $52.48 Typical High $69.18 | Professional | None | $33.88 | $52.48 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $891.25 Typical High $1,995.26 | Facility | None | $489.78 | $891.25 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $54.95 Typical High $97.72 | Professional | None | $45.71 | $54.95 | $97.72 |
Medcost Setting Facility Modifier None Typical Low $42.66 Median $54.95 Typical High $562.34 | Facility | None | $42.66 | $54.95 | $562.34 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $79.43 | Professional | None | $57.54 | $63.10 | $79.43 |
Molina Setting Professional Modifier None Typical Low $64.57 Median $89.13 Typical High $125.89 | Professional | None | $64.57 | $89.13 | $125.89 |
United Setting Facility Modifier None Typical Low $83.18 Median $426.58 Typical High $2,238.72 | Facility | None | $83.18 | $426.58 | $2,238.72 |
United Setting Professional Modifier None Typical Low $40.74 Median $56.23 Typical High $100.00 | Professional | None | $40.74 | $56.23 | $100.00 |
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 $30.20 Median $35.48 Typical High $44.67 | Professional | 51 · Multiple procedures | $30.20 | $35.48 | $44.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.02 Median $14.13 Typical High $17.78 | Professional | 80 · Assistant surgeon | $12.02 | $14.13 | $17.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.51 Median $10.00 Typical High $12.30 | Professional | 81 · Minimal assistant surgeon | $8.51 | $10.00 | $12.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.51 Median $10.00 Typical High $12.30 | Professional | 82 · Assistant surgeon, no resident | $8.51 | $10.00 | $12.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.51 Median $10.00 Typical High $12.30 | Professional | AS · PA/NP assist | $8.51 | $10.00 | $12.30 |
Where South Carolina sits
The same service costs 3.2 times more in Alaska than in Pennsylvania. 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· 30th of 51
$63.10
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.