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 $47.86 Median $4,897.79 Typical High $21,877.62 | Facility | None | $47.86 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $77.62 Typical High $102.33 | Professional | None | $45.71 | $77.62 | $102.33 |
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 $32.36 Median $47.86 Typical High $81.28 | Professional | None | $32.36 | $47.86 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $181.97 Typical High $707.95 | Facility | None | $67.61 | $181.97 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $69.18 Typical High $125.89 | Professional | None | $43.65 | $69.18 | $125.89 |
Medcost Setting Facility Modifier None Typical Low $47.86 Median $112.20 Typical High $169.82 | Facility | None | $47.86 | $112.20 | $169.82 |
Medcost Setting Professional Modifier None Typical Low $83.18 Median $91.20 Typical High $141.25 | Professional | None | $83.18 | $91.20 | $141.25 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $173.78 | Professional | None | $95.50 | $117.49 | $173.78 |
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 $35.48 Median $66.07 Typical High $114.82 | Professional | None | $35.48 | $66.07 | $114.82 |
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 $41.69 Median $45.71 Typical High $77.62 | Professional | 51 · Multiple procedures | $41.69 | $45.71 | $77.62 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.60 Median $18.20 Typical High $30.90 | Professional | 80 · Assistant surgeon | $16.60 | $18.20 | $30.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.48 Median $12.88 Typical High $21.88 | Professional | 81 · Minimal assistant surgeon | $11.48 | $12.88 | $21.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.48 Median $12.88 Typical High $21.88 | Professional | 82 · Assistant surgeon, no resident | $11.48 | $12.88 | $21.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.48 Median $12.88 Typical High $21.88 | Professional | AS · PA/NP assist | $11.48 | $12.88 | $21.88 |
Where South Carolina sits
The same service costs 3.6 times more in Alaska 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· 31st of 51
$77.62
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.