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 $18.20 Median $18.20 Typical High $20.89 | Facility | None | $18.20 | $18.20 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $19.05 Typical High $20.89 | Professional | None | $17.78 | $19.05 | $20.89 |
BCBS South Carolina Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $21.38 | Professional | None | $13.80 | $19.50 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $23.99 | Professional | None | $15.85 | $15.85 | $23.99 |
Medcost Setting Facility Modifier None Typical Low $19.05 Median $22.91 Typical High $47.86 | Facility | None | $19.05 | $22.91 | $47.86 |
Medcost Setting Professional Modifier None Typical Low $19.95 Median $22.91 Typical High $25.70 | Professional | None | $19.95 | $22.91 | $25.70 |
United Setting Professional Modifier None Typical Low $14.79 Median $17.78 Typical High $21.88 | Professional | None | $14.79 | $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 $10.00 Median $11.22 Typical High $14.79 | Professional | 51 · Multiple procedures | $10.00 | $11.22 | $14.79 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.07 Median $4.57 Typical High $5.89 | Professional | 80 · Assistant surgeon | $4.07 | $4.57 | $5.89 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.82 Median $3.16 Typical High $4.17 | Professional | 81 · Minimal assistant surgeon | $2.82 | $3.16 | $4.17 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.82 Median $3.16 Typical High $4.17 | Professional | 82 · Assistant surgeon, no resident | $2.82 | $3.16 | $4.17 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.82 Median $3.16 Typical High $4.17 | Professional | AS · PA/NP assist | $2.82 | $3.16 | $4.17 |
Where South Carolina sits
The same service costs 3.0 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
$18.20
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.