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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $46.77 | Professional | None | $42.66 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $23.44 Typical High $23.44 | Professional | 52 · Reduced service | $21.38 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $8.51 | $9.33 | $9.33 |
BCBS South Carolina Setting Facility Modifier None Typical Low $75.86 Median $128.82 Typical High $218.78 | Facility | None | $75.86 | $128.82 | $218.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $18.20 Median $28.84 Typical High $45.71 | Professional | None | $18.20 | $28.84 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $45.71 | Professional | None | $15.14 | $15.14 | $45.71 |
Medcost Setting Facility Modifier None Typical Low $14.13 Median $51.29 Typical High $125.89 | Facility | None | $14.13 | $51.29 | $125.89 |
Medcost Setting Professional Modifier None Typical Low $16.98 Median $23.99 Typical High $52.48 | Professional | None | $16.98 | $23.99 | $52.48 |
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 $912.01 Median $1,096.48 Typical High $1,445.44 | Facility | None | $912.01 | $1,096.48 | $1,445.44 |
United Setting Professional Modifier None Typical Low $17.78 Median $34.67 Typical High $44.67 | Professional | None | $17.78 | $34.67 | $44.67 |
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 $8.51 Median $12.02 Typical High $33.11 | Professional | 51 · Multiple procedures | $8.51 | $12.02 | $33.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.39 Median $4.79 Typical High $13.18 | Professional | 80 · Assistant surgeon | $3.39 | $4.79 | $13.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.40 Median $3.39 Typical High $9.33 | Professional | 81 · Minimal assistant surgeon | $2.40 | $3.39 | $9.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.40 Median $3.39 Typical High $9.33 | Professional | 82 · Assistant surgeon, no resident | $2.40 | $3.39 | $9.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.40 Median $3.39 Typical High $9.33 | Professional | AS · PA/NP assist | $2.40 | $3.39 | $9.33 |
Where South Carolina sits
The same service costs 2.9 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
$31.62
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.