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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $38.02 Typical High $38.02 | Professional | None | $36.31 | $38.02 | $38.02 |
BCBS South Carolina Setting Facility Modifier None Typical Low $147.91 Median $251.19 Typical High $446.68 | Facility | None | $147.91 | $251.19 | $446.68 |
BCBS South Carolina Setting Professional Modifier None Typical Low $36.31 Median $61.66 Typical High $70.79 | Professional | None | $36.31 | $61.66 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $42.66 Typical High $42.66 | Professional | None | $38.02 | $42.66 | $42.66 |
Medcost Setting Facility Modifier None Typical Low $38.02 Median $41.69 Typical High $102.33 | Facility | None | $38.02 | $41.69 | $102.33 |
Medcost Setting Professional Modifier None Typical Low $33.88 Median $52.48 Typical High $58.88 | Professional | None | $33.88 | $52.48 | $58.88 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $66.07 | Professional | None | $30.90 | $51.29 | $66.07 |
United Setting Facility Modifier None Typical Low $245.47 Median $302.00 Typical High $389.05 | Facility | None | $245.47 | $302.00 | $389.05 |
United Setting Professional Modifier None Typical Low $26.92 Median $32.36 Typical High $47.86 | Professional | None | $26.92 | $32.36 | $47.86 |
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 $16.98 Median $28.18 Typical High $29.51 | Professional | 51 · Multiple procedures | $16.98 | $28.18 | $29.51 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.76 Median $11.48 Typical High $11.75 | Professional | 80 · Assistant surgeon | $6.76 | $11.48 | $11.75 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.68 Median $7.94 Typical High $8.32 | Professional | 81 · Minimal assistant surgeon | $4.68 | $7.94 | $8.32 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.68 Median $7.94 Typical High $8.32 | Professional | 82 · Assistant surgeon, no resident | $4.68 | $7.94 | $8.32 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.68 Median $7.94 Typical High $8.32 | Professional | AS · PA/NP assist | $4.68 | $7.94 | $8.32 |
Where South Carolina sits
The same service costs 3.3 times more in Alaska than in Florida. 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· 22nd of 51
$42.66
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.