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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $38.90 Typical High $38.90 | Professional | None | $34.67 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $17.38 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $7.08 | $7.76 | $7.76 |
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 $19.95 Median $20.42 Typical High $38.90 | Professional | None | $19.95 | $20.42 | $38.90 |
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 $15.14 Median $15.14 Typical High $37.15 | Professional | None | $15.14 | $15.14 | $37.15 |
Medcost Setting Facility Modifier None Typical Low $15.49 Median $38.90 Typical High $112.20 | Facility | None | $15.49 | $38.90 | $112.20 |
Medcost Setting Professional Modifier None Typical Low $19.05 Median $21.38 Typical High $43.65 | Professional | None | $19.05 | $21.38 | $43.65 |
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 $17.38 Median $28.18 Typical High $37.15 | Professional | None | $17.38 | $28.18 | $37.15 |
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 $9.55 Median $10.72 Typical High $27.54 | Professional | 51 · Multiple procedures | $9.55 | $10.72 | $27.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.80 Median $4.27 Typical High $10.96 | Professional | 80 · Assistant surgeon | $3.80 | $4.27 | $10.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.63 Median $3.02 Typical High $7.76 | Professional | 81 · Minimal assistant surgeon | $2.63 | $3.02 | $7.76 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.63 Median $3.02 Typical High $7.76 | Professional | 82 · Assistant surgeon, no resident | $2.63 | $3.02 | $7.76 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.63 Median $3.02 Typical High $7.76 | Professional | AS · PA/NP assist | $2.63 | $3.02 | $7.76 |
Where South Carolina sits
The same service costs 3.5 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
$25.12
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.