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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $1,174.90 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,174.90 | $1,202.26 | $1,202.26 |
BCBS South Carolina Setting Professional Modifier None Typical Low $645.65 Median $851.14 Typical High $1,148.15 | Professional | None | $645.65 | $851.14 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $977.24 Typical High $1,737.80 | Professional | None | $954.99 | $977.24 | $1,737.80 |
Medcost Setting Professional Modifier None Typical Low $1,318.26 Median $1,412.54 Typical High $2,187.76 | Professional | None | $1,318.26 | $1,412.54 | $2,187.76 |
Medcost Setting Facility Modifier None Typical Low $977.24 Median $1,202.26 Typical High $3,235.94 | Facility | None | $977.24 | $1,202.26 | $3,235.94 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,348.96 | Professional | None | $1,023.29 | $1,096.48 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $1,148.15 Median $1,445.44 Typical High $2,238.72 | Professional | None | $1,148.15 | $1,445.44 | $2,238.72 |
United Setting Professional Modifier None Typical Low $794.33 Median $912.01 Typical High $1,479.11 | Professional | None | $794.33 | $912.01 | $1,479.11 |
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 $512.86 Median $549.54 Typical High $851.14 | Professional | 51 · Multiple procedures | $512.86 | $549.54 | $851.14 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $204.17 Median $223.87 Typical High $338.84 | Professional | 80 · Assistant surgeon | $204.17 | $223.87 | $338.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $141.25 Median $154.88 Typical High $239.88 | Professional | 81 · Minimal assistant surgeon | $141.25 | $154.88 | $239.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $141.25 Median $154.88 Typical High $239.88 | Professional | 82 · Assistant surgeon, no resident | $141.25 | $154.88 | $239.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $141.25 Median $154.88 Typical High $239.88 | Professional | AS · PA/NP assist | $141.25 | $154.88 | $239.88 |
Where South Carolina sits
The same service costs 3.2 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· 38th of 51
$1,122
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.