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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $29.51 Typical High $29.51 | Professional | None | $25.70 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $12.88 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $5.25 | $5.89 | $5.89 |
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 $14.45 Median $16.98 Typical High $28.84 | Professional | None | $14.45 | $16.98 | $28.84 |
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 Typical Low $12.30 Median $12.30 Typical High $28.18 | Professional | None | $12.30 | $12.30 | $28.18 |
Medcost Setting Facility Modifier None Typical Low $13.18 Median $30.90 Typical High $81.28 | Facility | None | $13.18 | $30.90 | $81.28 |
Medcost Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $33.11 | Professional | None | $15.85 | $15.85 | $33.11 |
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 $158.49 Median $190.55 Typical High $251.19 | Facility | None | $158.49 | $190.55 | $251.19 |
United Setting Professional Modifier None Typical Low $14.13 Median $20.89 Typical High $27.54 | Professional | None | $14.13 | $20.89 | $27.54 |
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 $7.94 Median $7.94 Typical High $20.89 | Professional | 51 · Multiple procedures | $7.94 | $7.94 | $20.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.24 Median $3.24 Typical High $8.32 | Professional | 80 · Assistant surgeon | $3.24 | $3.24 | $8.32 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.24 Median $2.24 Typical High $5.75 | Professional | 81 · Minimal assistant surgeon | $2.24 | $2.24 | $5.75 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.24 Median $2.24 Typical High $5.75 | Professional | 82 · Assistant surgeon, no resident | $2.24 | $2.24 | $5.75 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.24 Median $2.24 Typical High $5.75 | Professional | AS · PA/NP assist | $2.24 | $2.24 | $5.75 |
Where South Carolina sits
The same service costs 3.3 times more in Alaska than in South Carolina. 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· 51st of 51
$16.98
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.