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 $2.09 Median $2.09 Typical High $2.09 | Facility | None | $2.09 | $2.09 | $2.09 |
Aetna Setting Professional Modifier None Typical Low $2.00 Median $2.09 Typical High $2.19 | Professional | None | $2.00 | $2.09 | $2.19 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $3.55 | Professional | None | $2.75 | $2.75 | $3.55 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $371.54 Typical High $562.34 | Facility | None | $234.42 | $371.54 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $2.19 Median $2.45 Typical High $4.47 | Professional | None | $2.19 | $2.45 | $4.47 |
Medcost Setting Facility Modifier None Typical Low $2.09 Median $2.51 Typical High $6.92 | Facility | None | $2.09 | $2.51 | $6.92 |
Medcost Setting Professional Modifier None Typical Low $2.88 Median $3.63 Typical High $4.07 | Professional | None | $2.88 | $3.63 | $4.07 |
United Setting Facility Modifier None Typical Low $363.08 Median $446.68 Typical High $575.44 | Facility | None | $363.08 | $446.68 | $575.44 |
United Setting Professional Modifier None Typical Low $1.82 Median $2.75 Typical High $4.79 | Professional | None | $1.82 | $2.75 | $4.79 |
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 $1.82 Median $1.82 Typical High $3.72 | Professional | 51 · Multiple procedures | $1.82 | $1.82 | $3.72 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $0.72 Median $0.72 Typical High $1.48 | Professional | 80 · Assistant surgeon | $0.72 | $0.72 | $1.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.51 Median $0.51 Typical High $1.05 | Professional | 81 · Minimal assistant surgeon | $0.51 | $0.51 | $1.05 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.51 Median $0.51 Typical High $1.05 | Professional | 82 · Assistant surgeon, no resident | $0.51 | $0.51 | $1.05 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.51 Median $0.51 Typical High $1.05 | Professional | AS · PA/NP assist | $0.51 | $0.51 | $1.05 |
Where South Carolina sits
The same service costs 3.5 times more in Wyoming than in Indiana. 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· 40th of 51
$2.75
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.