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 $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $446.68 | Professional | None | $436.52 | $436.52 | $446.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $218.78 Typical High $223.87 | Professional | 52 · Reduced service | $218.78 | $218.78 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $91.20 | Professional | 53 · Discontinued | $87.10 | $87.10 | $91.20 |
BCBS South Carolina Setting Facility Modifier None Typical Low $380.19 Median $616.60 Typical High $1,047.13 | Facility | None | $380.19 | $616.60 | $1,047.13 |
BCBS South Carolina Setting Professional Modifier None Typical Low $194.98 Median $204.17 Typical High $457.09 | Professional | None | $194.98 | $204.17 | $457.09 |
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 $501.19 Median $758.58 Typical High $912.01 | Professional | None | $501.19 | $758.58 | $912.01 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $478.63 Typical High $588.84 | Facility | None | $407.38 | $478.63 | $588.84 |
Medcost Setting Professional Modifier None Typical Low $323.59 Median $489.78 Typical High $562.34 | Professional | None | $323.59 | $489.78 | $562.34 |
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 $275.42 Median $371.54 Typical High $645.65 | Professional | None | $275.42 | $371.54 | $645.65 |
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 $162.18 Median $245.47 Typical High $380.19 | Professional | 51 · Multiple procedures | $162.18 | $245.47 | $380.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $64.57 Median $97.72 Typical High $151.36 | Professional | 80 · Assistant surgeon | $64.57 | $97.72 | $151.36 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $45.71 Median $67.61 Typical High $104.71 | Professional | 81 · Minimal assistant surgeon | $45.71 | $67.61 | $104.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $45.71 Median $67.61 Typical High $104.71 | Professional | 82 · Assistant surgeon, no resident | $45.71 | $67.61 | $104.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $45.71 Median $67.61 Typical High $104.71 | Professional | AS · PA/NP assist | $45.71 | $67.61 | $104.71 |
Where South Carolina sits
The same service costs 4.8 times more in Nebraska than in Arkansas. 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· 46th of 51
$437
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.