How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $44.67 | Professional | None | $33.11 | $33.11 | $44.67 |
Ambetter Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $40.74 | Professional | None | $37.15 | $37.15 | $40.74 |
BCBS South Carolina Setting Professional Modifier None Typical Low $36.31 Median $37.15 Typical High $51.29 | Professional | None | $36.31 | $37.15 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $45.71 Typical High $79.43 | Professional | None | $41.69 | $45.71 | $79.43 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $39.81 Typical High $107.15 | Facility | None | $33.11 | $39.81 | $107.15 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $52.48 Typical High $64.57 | Professional | None | $45.71 | $52.48 | $64.57 |
Molina Setting Professional Modifier None Typical Low $32.36 Median $46.77 Typical High $63.10 | Professional | None | $32.36 | $46.77 | $63.10 |
United Setting Professional Modifier None Typical Low $33.11 Median $46.77 Typical High $81.28 | Professional | None | $33.11 | $46.77 | $81.28 |
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 $26.30 Median $26.30 Typical High $58.88 | Professional | 51 · Multiple procedures | $26.30 | $26.30 | $58.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.47 Median $10.47 Typical High $23.44 | Professional | 80 · Assistant surgeon | $10.47 | $10.47 | $23.44 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.24 Median $7.24 Typical High $16.60 | Professional | 81 · Minimal assistant surgeon | $7.24 | $7.24 | $16.60 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.24 Median $7.24 Typical High $16.60 | Professional | 82 · Assistant surgeon, no resident | $7.24 | $7.24 | $16.60 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.24 Median $7.24 Typical High $16.60 | Professional | AS · PA/NP assist | $7.24 | $7.24 | $16.60 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska than in Utah. 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· 39th of 51
$41.69
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.