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 $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.14 Median $15.85 Typical High $15.85 | Professional | None (both parts) | $15.14 | $15.85 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.59 Median $7.76 Typical High $7.94 | Professional | 52 · Reduced service | $7.59 | $7.76 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.16 Typical High $3.24 | Professional | 53 · Discontinued | $3.02 | $3.16 | $3.24 |
BCBS South Carolina Setting Facility Modifier None Typical Low $74.13 Median $123.03 Typical High $213.80 | Facility | None | $74.13 | $123.03 | $213.80 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $12.30 Median $17.38 Typical High $19.50 | Professional | None (both parts) | $12.30 | $17.38 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $10.23 Median $10.23 Typical High $20.42 | Professional | None (both parts) | $10.23 | $10.23 | $20.42 |
Medcost Setting Facility Modifier None Typical Low $12.88 Median $17.78 Typical High $40.74 | Facility | None | $12.88 | $17.78 | $40.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $14.13 Median $16.98 Typical High $19.95 | Professional | None (both parts) | $14.13 | $16.98 | $19.95 |
United Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $251.19 | Facility | None | $158.49 | $190.55 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $11.48 Median $13.80 Typical High $18.20 | Professional | None (both parts) | $11.48 | $13.80 | $18.20 |
7 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 26 · Professional part Typical Low $5.89 Median $6.92 Typical High $10.47 | Professional | 26 · Professional part | $5.89 | $6.92 | $10.47 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.08 Median $8.51 Typical High $11.22 | Professional | 51 · Multiple procedures | $7.08 | $8.51 | $11.22 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.82 Median $3.47 Typical High $4.47 | Professional | 80 · Assistant surgeon | $2.82 | $3.47 | $4.47 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.95 Median $2.40 Typical High $3.16 | Professional | 81 · Minimal assistant surgeon | $1.95 | $2.40 | $3.16 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.95 Median $2.40 Typical High $3.16 | Professional | 82 · Assistant surgeon, no resident | $1.95 | $2.40 | $3.16 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.95 Median $2.40 Typical High $3.16 | Professional | AS · PA/NP assist | $1.95 | $2.40 | $3.16 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $10.23 Typical High $15.85 | Professional | TC · Technical part | $8.71 | $10.23 | $15.85 |
Where South Carolina sits
The same service costs 2.7 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· 32nd of 51
$15.85
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.