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 $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $30.90 Typical High $38.02 | Professional | None | $29.51 | $30.90 | $38.02 |
Ambetter Setting Professional Modifier None Typical Low $31.62 Median $35.48 Typical High $51.29 | Professional | None | $31.62 | $35.48 | $51.29 |
BCBS South Carolina Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $42.66 | Professional | None | $28.84 | $28.84 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $45.71 Typical High $53.70 | Professional | None | $36.31 | $45.71 | $53.70 |
Medcost Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
Medcost Setting Facility Modifier None Typical Low $30.90 Median $34.67 Typical High $81.28 | Facility | None | $30.90 | $34.67 | $81.28 |
Medcost Setting Professional Modifier None Typical Low $34.67 Median $41.69 Typical High $42.66 | Professional | None | $34.67 | $41.69 | $42.66 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $42.66 Typical High $66.07 | Professional | None | $33.88 | $42.66 | $66.07 |
United Setting Professional Modifier None Typical Low $25.70 Median $34.67 Typical High $54.95 | Professional | None | $25.70 | $34.67 | $54.95 |
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 $18.62 Median $20.89 Typical High $26.92 | Professional | 51 · Multiple procedures | $18.62 | $20.89 | $26.92 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.41 Median $8.32 Typical High $10.72 | Professional | 80 · Assistant surgeon | $7.41 | $8.32 | $10.72 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.13 Median $5.89 Typical High $7.41 | Professional | 81 · Minimal assistant surgeon | $5.13 | $5.89 | $7.41 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.13 Median $5.89 Typical High $7.41 | Professional | 82 · Assistant surgeon, no resident | $5.13 | $5.89 | $7.41 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.13 Median $5.89 Typical High $7.41 | Professional | AS · PA/NP assist | $5.13 | $5.89 | $7.41 |
Where South Carolina sits
The same service costs 2.5 times more in Alaska than in Maryland. 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· 37th of 51
$35.48
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.