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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $117.49 | Professional | None | $72.44 | $72.44 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $61.66 Median $79.43 Typical High $104.71 | Professional | None | $61.66 | $79.43 | $104.71 |
BCBS South Carolina Setting Professional Modifier None Typical Low $66.07 Median $208.93 Typical High $223.87 | Professional | None | $66.07 | $208.93 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $154.88 Typical High $165.96 | Professional | None | $95.50 | $154.88 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Medcost Setting Facility Modifier None Typical Low $72.44 Median $97.72 Typical High $190.55 | Facility | None | $72.44 | $97.72 | $190.55 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $257.04 | Professional | None | $81.28 | $114.82 | $257.04 |
Molina Setting Professional Modifier None Typical Low $61.66 Median $81.28 Typical High $120.23 | Professional | None | $61.66 | $81.28 | $120.23 |
United Setting Professional Modifier None Typical Low $67.61 Median $97.72 Typical High $234.42 | Professional | None | $67.61 | $97.72 | $234.42 |
7 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $36.31 Typical High $37.15 | Professional | 52 · Reduced service | $36.31 | $36.31 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $14.79 | Professional | 53 · Discontinued | $14.45 | $14.45 | $14.79 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $51.29 Median $81.28 Typical High $128.82 | Professional | 51 · Multiple procedures | $51.29 | $81.28 | $128.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.42 Median $32.36 Typical High $51.29 | Professional | 80 · Assistant surgeon | $20.42 | $32.36 | $51.29 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.13 Median $22.91 Typical High $36.31 | Professional | 81 · Minimal assistant surgeon | $14.13 | $22.91 | $36.31 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.13 Median $22.91 Typical High $36.31 | Professional | 82 · Assistant surgeon, no resident | $14.13 | $22.91 | $36.31 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.13 Median $22.91 Typical High $36.31 | Professional | AS · PA/NP assist | $14.13 | $22.91 | $36.31 |
Where South Carolina sits
The same service costs 2.8 times more in Minnesota than in Utah. 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· 24th of 51
$110
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.