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 $35.48 Median $4,897.79 Typical High $21,877.62 | Facility | None | $35.48 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $97.72 Typical High $134.90 | Professional | None | $34.67 | $97.72 | $134.90 |
Ambetter Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $186.21 | Professional | None | $165.96 | $165.96 | $186.21 |
BCBS South Carolina Setting Facility Modifier None Typical Low $389.05 Median $676.08 Typical High $1,174.90 | Facility | None | $389.05 | $676.08 | $1,174.90 |
BCBS South Carolina Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $190.55 | Professional | None | $25.12 | $33.11 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $288.40 Typical High $794.33 | Facility | None | $107.15 | $288.40 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $117.49 Typical High $181.97 | Professional | None | $41.69 | $117.49 | $181.97 |
Medcost Setting Facility Modifier None Typical Low $35.48 Median $134.90 Typical High $173.78 | Facility | None | $35.48 | $134.90 | $173.78 |
Medcost Setting Professional Modifier None Typical Low $131.83 Median $173.78 Typical High $173.78 | Professional | None | $131.83 | $173.78 | $173.78 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $154.88 Typical High $229.09 | Professional | None | $128.82 | $154.88 | $229.09 |
United Setting Facility Modifier None Typical Low $83.18 Median $446.68 Typical High $2,238.72 | Facility | None | $83.18 | $446.68 | $2,238.72 |
United Setting Professional Modifier None Typical Low $27.54 Median $93.33 Typical High $199.53 | Professional | None | $27.54 | $93.33 | $199.53 |
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 $26.92 Median $31.62 Typical High $100.00 | Professional | 54 · Surgery only | $26.92 | $31.62 | $100.00 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $81.28 Median $87.10 Typical High $102.33 | Professional | 51 · Multiple procedures | $81.28 | $87.10 | $102.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $34.67 Typical High $40.74 | Professional | 80 · Assistant surgeon | $33.11 | $34.67 | $40.74 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.91 Median $23.99 Typical High $28.18 | Professional | 81 · Minimal assistant surgeon | $22.91 | $23.99 | $28.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.91 Median $23.99 Typical High $28.18 | Professional | 82 · Assistant surgeon, no resident | $22.91 | $23.99 | $28.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.91 Median $23.99 Typical High $28.18 | Professional | AS · PA/NP assist | $22.91 | $23.99 | $28.18 |
Where South Carolina sits
The same service costs 5.1 times more in Iowa than in Kentucky. 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· 19th of 51
$129
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.