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 $1,318.26 Median $1,318.26 Typical High $2,344.23 | Facility | None | $1,318.26 | $1,318.26 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,023.29 | $1,318.26 | $1,318.26 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,023.29 Median $1,412.54 Typical High $1,778.28 | Professional | None | $1,023.29 | $1,412.54 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $851.14 Typical High $1,905.46 | Facility | None | $588.84 | $851.14 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,230.27 Typical High $2,041.74 | Professional | None | $977.24 | $1,230.27 | $2,041.74 |
Medcost Setting Facility Modifier None Typical Low $891.25 Median $1,318.26 Typical High $3,162.28 | Facility | None | $891.25 | $1,318.26 | $3,162.28 |
Medcost Setting Professional Modifier None Typical Low $1,148.15 Median $1,174.90 Typical High $1,513.56 | Professional | None | $1,148.15 | $1,174.90 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $1,023.29 Median $1,513.56 Typical High $2,187.76 | Professional | None | $1,023.29 | $1,513.56 | $2,187.76 |
United Setting Facility Modifier None Typical Low $416.87 Median $1,258.93 Typical High $8,709.64 | Facility | None | $416.87 | $1,258.93 | $8,709.64 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,174.90 Typical High $1,905.46 | Professional | None | $891.25 | $1,174.90 | $1,905.46 |
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 52 · Reduced service Typical Low $562.34 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $562.34 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $263.03 Typical High $263.03 | Professional | 53 · Discontinued | $223.87 | $263.03 | $263.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $575.44 Median $588.84 Typical High $1,000.00 | Professional | 51 · Multiple procedures | $575.44 | $588.84 | $1,000.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $229.09 Median $234.42 Typical High $407.38 | Professional | 80 · Assistant surgeon | $229.09 | $234.42 | $407.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $162.18 Median $165.96 Typical High $281.84 | Professional | 81 · Minimal assistant surgeon | $162.18 | $165.96 | $281.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $162.18 Median $165.96 Typical High $281.84 | Professional | 82 · Assistant surgeon, no resident | $162.18 | $165.96 | $281.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $162.18 Median $165.96 Typical High $281.84 | Professional | AS · PA/NP assist | $162.18 | $165.96 | $281.84 |
Where South Carolina sits
The same service costs 3.5 times more in Alaska than in Arkansas. 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
$1,349
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.