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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $794.33 | Professional | None | $707.95 | $707.95 | $794.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $354.81 Median $354.81 Typical High $371.54 | Professional | 52 · Reduced service | $354.81 | $354.81 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $147.91 | Professional | 53 · Discontinued | $144.54 | $144.54 | $147.91 |
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 $676.08 | Professional | None | $194.98 | $204.17 | $676.08 |
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 $831.76 Median $1,258.93 Typical High $1,479.11 | Professional | None | $831.76 | $1,258.93 | $1,479.11 |
Medcost Setting Facility Modifier None Typical Low $676.08 Median $794.33 Typical High $977.24 | Facility | None | $676.08 | $794.33 | $977.24 |
Medcost Setting Professional Modifier None Typical Low $537.03 Median $794.33 Typical High $933.25 | Professional | None | $537.03 | $794.33 | $933.25 |
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 $371.54 Median $537.03 Typical High $1,000.00 | Professional | None | $371.54 | $537.03 | $1,000.00 |
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 $269.15 Median $398.11 Typical High $616.60 | Professional | 51 · Multiple procedures | $269.15 | $398.11 | $616.60 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $107.15 Median $162.18 Typical High $251.19 | Professional | 80 · Assistant surgeon | $107.15 | $162.18 | $251.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $75.86 Median $112.20 Typical High $173.78 | Professional | 81 · Minimal assistant surgeon | $75.86 | $112.20 | $173.78 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $75.86 Median $112.20 Typical High $173.78 | Professional | 82 · Assistant surgeon, no resident | $75.86 | $112.20 | $173.78 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $75.86 Median $112.20 Typical High $173.78 | Professional | AS · PA/NP assist | $75.86 | $112.20 | $173.78 |
Where South Carolina sits
The same service costs 4.1 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· 45th of 51
$676
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.