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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $50.12 Typical High $50.12 | Professional | None | $44.67 | $50.12 | $50.12 |
BCBS South Carolina Setting Facility Modifier None Typical Low $158.49 Median $269.15 Typical High $446.68 | Facility | None | $158.49 | $269.15 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $48.98 Typical High $97.72 | Professional | None | $46.77 | $48.98 | $97.72 |
Medcost Setting Facility Modifier None Typical Low $50.12 Median $60.26 Typical High $67.61 | Facility | None | $50.12 | $60.26 | $67.61 |
Medcost Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $56.23 | Professional | None | $53.70 | $53.70 | $56.23 |
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 $537.03 Median $660.69 Typical High $851.14 | Facility | None | $537.03 | $660.69 | $851.14 |
United Setting Professional Modifier None Typical Low $38.90 Median $50.12 Typical High $77.62 | Professional | None | $38.90 | $50.12 | $77.62 |
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 $26.92 Median $26.92 Typical High $34.67 | Professional | 51 · Multiple procedures | $26.92 | $26.92 | $34.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.72 Median $10.72 Typical High $13.80 | Professional | 80 · Assistant surgeon | $10.72 | $10.72 | $13.80 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.41 Median $7.41 Typical High $9.77 | Professional | 81 · Minimal assistant surgeon | $7.41 | $7.41 | $9.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.41 Median $7.41 Typical High $9.77 | Professional | 82 · Assistant surgeon, no resident | $7.41 | $7.41 | $9.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.41 Median $7.41 Typical High $9.77 | Professional | AS · PA/NP assist | $7.41 | $7.41 | $9.77 |
Where South Carolina sits
The same service costs 3.2 times more in Massachusetts than in North Dakota. 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
$50.12
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.