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 $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $42.66 | Professional | None | $36.31 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $19.05 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $7.59 | $8.51 | $8.51 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $52.48 Typical High $52.48 | Professional | None | $45.71 | $52.48 | $52.48 |
BCBS South Carolina Setting Facility Modifier None Typical Low $194.98 Median $338.84 Typical High $575.44 | Facility | None | $194.98 | $338.84 | $575.44 |
BCBS South Carolina Setting Professional Modifier None Typical Low $27.54 Median $30.20 Typical High $45.71 | Professional | None | $27.54 | $30.20 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $38.90 | Professional | None | $20.89 | $20.89 | $38.90 |
Medcost Setting Facility Modifier None Typical Low $22.91 Median $42.66 Typical High $120.23 | Facility | None | $22.91 | $42.66 | $120.23 |
Medcost Setting Professional Modifier None Typical Low $27.54 Median $28.18 Typical High $47.86 | Professional | None | $27.54 | $28.18 | $47.86 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $40.74 Typical High $61.66 | Professional | None | $30.90 | $40.74 | $61.66 |
United Setting Facility Modifier None Typical Low $537.03 Median $660.69 Typical High $851.14 | Facility | None | $537.03 | $660.69 | $851.14 |
United Setting Professional Modifier None Typical Low $24.55 Median $30.20 Typical High $38.90 | Professional | None | $24.55 | $30.20 | $38.90 |
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 $13.80 Median $14.13 Typical High $30.20 | Professional | 51 · Multiple procedures | $13.80 | $14.13 | $30.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.50 Median $5.62 Typical High $12.02 | Professional | 80 · Assistant surgeon | $5.50 | $5.62 | $12.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.89 Median $3.98 Typical High $8.32 | Professional | 81 · Minimal assistant surgeon | $3.89 | $3.98 | $8.32 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.89 Median $3.98 Typical High $8.32 | Professional | 82 · Assistant surgeon, no resident | $3.89 | $3.98 | $8.32 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.89 Median $3.98 Typical High $8.32 | Professional | AS · PA/NP assist | $3.89 | $3.98 | $8.32 |
Where South Carolina sits
The same service costs 2.6 times more in Alaska than in Kentucky. 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· 50th of 51
$30.90
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.