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 $891.25 Median $11,481.54 Typical High $21,877.62 | Facility | None | $891.25 | $11,481.54 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $891.25 | Professional | None | $758.58 | $891.25 | $891.25 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,778.28 Median $2,951.21 Typical High $8,912.51 | Facility | None | $1,778.28 | $2,951.21 | $8,912.51 |
BCBS South Carolina Setting Professional Modifier None Typical Low $616.60 Median $1,122.02 Typical High $1,318.26 | Professional | None | $616.60 | $1,122.02 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,454.71 Typical High $3,981.07 | Facility | None | $602.56 | $2,454.71 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $1,288.25 Typical High $1,819.70 | Professional | None | $213.80 | $1,288.25 | $1,819.70 |
Medcost Setting Facility Modifier None Typical Low $676.08 Median $1,148.15 Typical High $3,890.45 | Facility | None | $676.08 | $1,148.15 | $3,890.45 |
Medcost Setting Professional Modifier None Typical Low $812.83 Median $954.99 Typical High $954.99 | Professional | None | $812.83 | $954.99 | $954.99 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $4,265.80 Typical High $21,379.62 | Facility | None | $1,445.44 | $4,265.80 | $21,379.62 |
United Setting Professional Modifier None Typical Low $616.60 Median $741.31 Typical High $1,288.25 | Professional | None | $616.60 | $741.31 | $1,288.25 |
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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,412.54 Median $1,412.54 Typical High $1,513.56 | Professional | 50 · Both sides | $1,412.54 | $1,412.54 | $1,513.56 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $478.63 Median $478.63 Typical High $512.86 | Professional | 51 · Multiple procedures | $478.63 | $478.63 | $512.86 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $190.55 Median $190.55 Typical High $204.17 | Professional | 80 · Assistant surgeon | $190.55 | $190.55 | $204.17 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $131.83 Median $131.83 Typical High $141.25 | Professional | 81 · Minimal assistant surgeon | $131.83 | $131.83 | $141.25 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $131.83 Median $131.83 Typical High $141.25 | Professional | 82 · Assistant surgeon, no resident | $131.83 | $131.83 | $141.25 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $131.83 Median $131.83 Typical High $141.25 | Professional | AS · PA/NP assist | $131.83 | $131.83 | $141.25 |
Where South Carolina sits
The same service costs 6.2 times more in Alaska than in New York. 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· 18th of 51
$1,318
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.