How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $19.05 Median $19.05 Typical High $22.39 | Facility | None | $19.05 | $19.05 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $19.50 Typical High $22.39 | Professional | None | $18.62 | $19.50 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None | $18.62 | $18.62 | $18.62 |
BCBS South Carolina Setting Professional Modifier None Typical Low $12.02 Median $14.13 Typical High $20.42 | Professional | None | $12.02 | $14.13 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $24.55 | Professional | None | $9.77 | $9.77 | $24.55 |
Medcost Setting Facility Modifier None Typical Low $19.05 Median $22.39 Typical High $51.29 | Facility | None | $19.05 | $22.39 | $51.29 |
Medcost Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $25.12 | Professional | None | $11.22 | $13.18 | $25.12 |
United Setting Professional Modifier None Typical Low $13.49 Median $17.78 Typical High $21.88 | Professional | None | $13.49 | $17.78 | $21.88 |
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 $5.62 Median $6.61 Typical High $15.85 | Professional | 51 · Multiple procedures | $5.62 | $6.61 | $15.85 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.24 Median $2.63 Typical High $6.31 | Professional | 80 · Assistant surgeon | $2.24 | $2.63 | $6.31 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.58 Median $1.86 Typical High $4.47 | Professional | 81 · Minimal assistant surgeon | $1.58 | $1.86 | $4.47 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.58 Median $1.86 Typical High $4.47 | Professional | 82 · Assistant surgeon, no resident | $1.58 | $1.86 | $4.47 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.58 Median $1.86 Typical High $4.47 | Professional | AS · PA/NP assist | $1.58 | $1.86 | $4.47 |
Where South Carolina sits
The same service costs 3.1 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· 46th 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.