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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $218.78 Typical High $239.88 | Professional | None | $181.97 | $218.78 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $109.65 Typical High $114.82 | Professional | 52 · Reduced service | $104.71 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $43.65 Typical High $46.77 | Professional | 53 · Discontinued | $41.69 | $43.65 | $46.77 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
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 $173.78 Median $194.98 Typical High $251.19 | Professional | None | $173.78 | $194.98 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $363.08 Typical High $416.87 | Professional | None | $263.03 | $363.08 | $416.87 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $239.88 Typical High $295.12 | Facility | None | $218.78 | $239.88 | $295.12 |
Medcost Setting Professional Modifier None Typical Low $154.88 Median $234.42 Typical High $338.84 | Professional | None | $154.88 | $234.42 | $338.84 |
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 $1,584.89 Median $1,905.46 Typical High $2,454.71 | Facility | None | $1,584.89 | $1,905.46 | $2,454.71 |
United Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $346.74 | Professional | None | $151.36 | $208.93 | $346.74 |
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 $77.62 Median $117.49 Typical High $199.53 | Professional | 51 · Multiple procedures | $77.62 | $117.49 | $199.53 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.90 Median $46.77 Typical High $81.28 | Professional | 80 · Assistant surgeon | $30.90 | $46.77 | $81.28 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.88 Median $32.36 Typical High $56.23 | Professional | 81 · Minimal assistant surgeon | $21.88 | $32.36 | $56.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.88 Median $32.36 Typical High $56.23 | Professional | 82 · Assistant surgeon, no resident | $21.88 | $32.36 | $56.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.88 Median $32.36 Typical High $56.23 | Professional | AS · PA/NP assist | $21.88 | $32.36 | $56.23 |
Where South Carolina sits
The same service costs 4.2 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· 40th of 51
$219
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.