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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $239.88 | Professional | None | $177.83 | $177.83 | $239.88 |
Ambetter Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
BCBS South Carolina Setting Professional Modifier None Typical Low $158.49 Median $204.17 Typical High $295.12 | Professional | None | $158.49 | $204.17 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $346.74 | Professional | None | $218.78 | $309.03 | $346.74 |
Medcost Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
Medcost Setting Facility Modifier None Typical Low $177.83 Median $239.88 Typical High $467.74 | Facility | None | $177.83 | $239.88 | $467.74 |
Medcost Setting Professional Modifier None Typical Low $199.53 Median $245.47 Typical High $389.05 | Professional | None | $199.53 | $245.47 | $389.05 |
Molina Setting Professional Modifier None Typical Low $190.55 Median $245.47 Typical High $371.54 | Professional | None | $190.55 | $245.47 | $371.54 |
United Setting Professional Modifier None Typical Low $158.49 Median $229.09 Typical High $446.68 | Professional | None | $158.49 | $229.09 | $446.68 |
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 $89.13 Median $89.13 Typical High $91.20 | Professional | 52 · Reduced service | $89.13 | $89.13 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $36.31 | Professional | 53 · Discontinued | $35.48 | $35.48 | $36.31 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $112.20 Median $123.03 Typical High $239.88 | Professional | 51 · Multiple procedures | $112.20 | $123.03 | $239.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $45.71 Median $50.12 Typical High $95.50 | Professional | 80 · Assistant surgeon | $45.71 | $50.12 | $95.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $31.62 Median $34.67 Typical High $67.61 | Professional | 81 · Minimal assistant surgeon | $31.62 | $34.67 | $67.61 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $31.62 Median $34.67 Typical High $67.61 | Professional | 82 · Assistant surgeon, no resident | $31.62 | $34.67 | $67.61 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $31.62 Median $34.67 Typical High $67.61 | Professional | AS · PA/NP assist | $31.62 | $34.67 | $67.61 |
Where South Carolina sits
The same service costs 2.5 times more in Minnesota 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· 32nd of 51
$234
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.