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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $162.18 Typical High $169.82 | Professional | None | $151.36 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $81.28 Typical High $85.11 | Professional | 52 · Reduced service | $75.86 | $81.28 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $32.36 Typical High $33.88 | Professional | 53 · Discontinued | $30.90 | $32.36 | $33.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $371.54 Median $616.60 Typical High $1,047.13 | Facility | None | $371.54 | $616.60 | $1,047.13 |
BCBS South Carolina Setting Professional Modifier None Typical Low $117.49 Median $194.98 Typical High $239.88 | Professional | None | $117.49 | $194.98 | $239.88 |
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 $194.98 Median $269.15 Typical High $309.03 | Professional | None | $194.98 | $269.15 | $309.03 |
Medcost Setting Facility Modifier None Typical Low $158.49 Median $177.83 Typical High $218.78 | Facility | None | $158.49 | $177.83 | $218.78 |
Medcost Setting Professional Modifier None Typical Low $114.82 Median $169.82 Typical High $199.53 | Professional | None | $114.82 | $169.82 | $199.53 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $54.95 | Professional | None | $30.20 | $30.20 | $54.95 |
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 $79.43 Median $107.15 Typical High $234.42 | Professional | None | $79.43 | $107.15 | $234.42 |
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 $57.54 Median $85.11 Typical High $141.25 | Professional | 51 · Multiple procedures | $57.54 | $85.11 | $141.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.91 Median $34.67 Typical High $56.23 | Professional | 80 · Assistant surgeon | $22.91 | $34.67 | $56.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.22 Median $23.99 Typical High $39.81 | Professional | 81 · Minimal assistant surgeon | $16.22 | $23.99 | $39.81 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.22 Median $23.99 Typical High $39.81 | Professional | 82 · Assistant surgeon, no resident | $16.22 | $23.99 | $39.81 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.22 Median $23.99 Typical High $39.81 | Professional | AS · PA/NP assist | $16.22 | $23.99 | $39.81 |
Where South Carolina sits
The same service costs 5.8 times more in New Hampshire 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· 37th of 51
$170
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.