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 $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $19.50 Typical High $19.50 | Professional | None | $16.22 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $8.13 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $3.24 | $3.98 | $3.98 |
BCBS South Carolina Setting Facility Modifier None Typical Low $74.13 Median $128.82 Typical High $218.78 | Facility | None | $74.13 | $128.82 | $218.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $13.80 Median $15.85 Typical High $20.42 | Professional | None | $13.80 | $15.85 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $16.60 | Professional | None | $11.48 | $11.48 | $16.60 |
Medcost Setting Facility Modifier None Typical Low $13.80 Median $19.50 Typical High $54.95 | Facility | None | $13.80 | $19.50 | $54.95 |
Medcost Setting Professional Modifier None Typical Low $11.75 Median $16.98 Typical High $22.91 | Professional | None | $11.75 | $16.98 | $22.91 |
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 $245.47 Median $302.00 Typical High $389.05 | Facility | None | $245.47 | $302.00 | $389.05 |
United Setting Professional Modifier None Typical Low $11.22 Median $12.88 Typical High $16.60 | Professional | None | $11.22 | $12.88 | $16.60 |
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 $5.89 Median $8.51 Typical High $13.80 | Professional | 51 · Multiple procedures | $5.89 | $8.51 | $13.80 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.34 Median $3.39 Typical High $5.50 | Professional | 80 · Assistant surgeon | $2.34 | $3.39 | $5.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.62 Median $2.40 Typical High $3.89 | Professional | 81 · Minimal assistant surgeon | $1.62 | $2.40 | $3.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.62 Median $2.40 Typical High $3.89 | Professional | 82 · Assistant surgeon, no resident | $1.62 | $2.40 | $3.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.62 Median $2.40 Typical High $3.89 | Professional | AS · PA/NP assist | $1.62 | $2.40 | $3.89 |
Where South Carolina sits
The same service costs 2.6 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· 42nd of 51
$17.38
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.