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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $234.42 Typical High $234.42 | Professional | None | $56.23 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $36.31 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $36.31 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $14.79 | $47.86 | $47.86 |
BCBS South Carolina Setting Facility Modifier None Typical Low $165.96 Median $269.15 Typical High $457.09 | Facility | None | $165.96 | $269.15 | $457.09 |
BCBS South Carolina Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $234.42 | Professional | None | $190.55 | $190.55 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $398.11 Typical High $549.54 | Professional | None | $85.11 | $398.11 | $549.54 |
Medcost Setting Facility Modifier None Typical Low $234.42 Median $263.03 Typical High $616.60 | Facility | None | $234.42 | $263.03 | $616.60 |
Medcost Setting Professional Modifier None Typical Low $218.78 Median $263.03 Typical High $269.15 | Professional | None | $218.78 | $263.03 | $269.15 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $562.34 Median $676.08 Typical High $891.25 | Facility | None | $562.34 | $676.08 | $891.25 |
United Setting Professional Modifier None Typical Low $32.36 Median $42.66 Typical High $109.65 | Professional | None | $32.36 | $42.66 | $109.65 |
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 $131.83 Median $131.83 Typical High $165.96 | Professional | 51 · Multiple procedures | $131.83 | $131.83 | $165.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $52.48 Median $52.48 Typical High $66.07 | Professional | 80 · Assistant surgeon | $52.48 | $52.48 | $66.07 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $37.15 Median $37.15 Typical High $46.77 | Professional | 81 · Minimal assistant surgeon | $37.15 | $37.15 | $46.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $37.15 Median $37.15 Typical High $46.77 | Professional | 82 · Assistant surgeon, no resident | $37.15 | $37.15 | $46.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $37.15 Median $37.15 Typical High $46.77 | Professional | AS · PA/NP assist | $37.15 | $37.15 | $46.77 |
Where South Carolina sits
The same service costs 13.5 times more in Minnesota 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· 33rd of 51
$191
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.