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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $53.70 Typical High $53.70 | Professional | None | $46.77 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $23.44 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $23.44 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $9.33 | $10.72 | $10.72 |
Ambetter Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
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 $36.31 Median $39.81 Typical High $56.23 | Professional | None | $36.31 | $39.81 | $56.23 |
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 $26.30 Median $26.30 Typical High $50.12 | Professional | None | $26.30 | $26.30 | $50.12 |
Medcost Setting Facility Modifier None Typical Low $30.90 Median $58.88 Typical High $147.91 | Facility | None | $30.90 | $58.88 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $31.62 Median $38.02 Typical High $60.26 | Professional | None | $31.62 | $38.02 | $60.26 |
Molina Setting Professional Modifier None Typical Low $61.66 Median $83.18 Typical High $123.03 | Professional | None | $61.66 | $83.18 | $123.03 |
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 $28.18 Median $38.02 Typical High $48.98 | Professional | None | $28.18 | $38.02 | $48.98 |
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 $15.85 Median $19.05 Typical High $37.15 | Professional | 51 · Multiple procedures | $15.85 | $19.05 | $37.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.31 Median $7.59 Typical High $14.79 | Professional | 80 · Assistant surgeon | $6.31 | $7.59 | $14.79 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.47 Median $5.37 Typical High $10.47 | Professional | 81 · Minimal assistant surgeon | $4.47 | $5.37 | $10.47 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.47 Median $5.37 Typical High $10.47 | Professional | 82 · Assistant surgeon, no resident | $4.47 | $5.37 | $10.47 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.47 Median $5.37 Typical High $10.47 | Professional | AS · PA/NP assist | $4.47 | $5.37 | $10.47 |
Where South Carolina sits
The same service costs 2.6 times more in Alaska than in Indiana. 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· 49th of 51
$39.81
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.