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 $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $302.00 Typical High $302.00 | Professional | None | $269.15 | $302.00 | $302.00 |
Ambetter Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $331.13 | Professional | None | $239.88 | $281.84 | $331.13 |
BCBS South Carolina Setting Professional Modifier None Typical Low $245.47 Median $257.04 Typical High $302.00 | Professional | None | $245.47 | $257.04 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $245.47 Typical High $436.52 | Professional | None | $229.09 | $245.47 | $436.52 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $549.54 | Professional | None | $309.03 | $331.13 | $549.54 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $302.00 Typical High $812.83 | Facility | None | $245.47 | $302.00 | $812.83 |
Medcost Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $338.84 | Professional | None | $239.88 | $263.03 | $338.84 |
Molina Setting Professional Modifier None Typical Low $288.40 Median $371.54 Typical High $575.44 | Professional | None | $288.40 | $371.54 | $575.44 |
United Setting Professional Modifier None Typical Low $199.53 Median $234.42 Typical High $363.08 | Professional | None | $199.53 | $234.42 | $363.08 |
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 $120.23 Median $131.83 Typical High $213.80 | Professional | 51 · Multiple procedures | $120.23 | $131.83 | $213.80 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $47.86 Median $52.48 Typical High $85.11 | Professional | 80 · Assistant surgeon | $47.86 | $52.48 | $85.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.11 Median $36.31 Typical High $58.88 | Professional | 81 · Minimal assistant surgeon | $33.11 | $36.31 | $58.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.11 Median $36.31 Typical High $58.88 | Professional | 82 · Assistant surgeon, no resident | $33.11 | $36.31 | $58.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.11 Median $36.31 Typical High $58.88 | Professional | AS · PA/NP assist | $33.11 | $36.31 | $58.88 |
Where South Carolina sits
The same service costs 2.8 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· 40th of 51
$282
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.