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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
BCBS South Carolina Setting Facility Modifier None Typical Low $93.33 Median $154.88 Typical High $275.42 | Facility | None | $93.33 | $154.88 | $275.42 |
BCBS South Carolina Setting Professional Modifier None Typical Low $21.88 Median $32.36 Typical High $32.36 | Professional | None | $21.88 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $14.45 Median $18.20 Typical High $35.48 | Professional | None | $14.45 | $18.20 | $35.48 |
Medcost Setting Professional Modifier None Typical Low $28.18 Median $31.62 Typical High $58.88 | Professional | None | $28.18 | $31.62 | $58.88 |
Medcost Setting Facility Modifier None Typical Low $20.42 Median $33.11 Typical High $83.18 | Facility | None | $20.42 | $33.11 | $83.18 |
Medcost Setting Professional Modifier None Typical Low $22.91 Median $30.20 Typical High $33.88 | Professional | None | $22.91 | $30.20 | $33.88 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $60.26 | Professional | None | $30.20 | $38.90 | $60.26 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,445.44 | Facility | None | $912.01 | $1,096.48 | $1,445.44 |
United Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $40.74 | Professional | None | $20.89 | $28.18 | $40.74 |
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 $14.45 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $14.45 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $5.75 | $6.03 | $6.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $11.48 Median $15.14 Typical High $21.38 | Professional | 51 · Multiple procedures | $11.48 | $15.14 | $21.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.57 Median $6.03 Typical High $8.51 | Professional | 80 · Assistant surgeon | $4.57 | $6.03 | $8.51 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.16 Median $4.17 Typical High $5.89 | Professional | 81 · Minimal assistant surgeon | $3.16 | $4.17 | $5.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.16 Median $4.17 Typical High $5.89 | Professional | 82 · Assistant surgeon, no resident | $3.16 | $4.17 | $5.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.16 Median $4.17 Typical High $5.89 | Professional | AS · PA/NP assist | $3.16 | $4.17 | $5.89 |
Where South Carolina sits
The same service costs 3.6 times more in Minnesota than in Kentucky. 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· 40th of 51
$30.20
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.