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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $457.09 Typical High $512.86 | Professional | None | $436.52 | $457.09 | $512.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $213.80 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $87.10 | $91.20 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
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 $457.09 Median $691.83 Typical High $891.25 | Professional | None | $457.09 | $691.83 | $891.25 |
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 $512.86 Median $794.33 Typical High $933.25 | Professional | None | $512.86 | $794.33 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $501.19 Typical High $616.60 | Facility | None | $407.38 | $501.19 | $616.60 |
Medcost Setting Professional Modifier None Typical Low $346.74 Median $512.86 Typical High $602.56 | Professional | None | $346.74 | $512.86 | $602.56 |
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 $234.42 Median $331.13 Typical High $645.65 | Professional | None | $234.42 | $331.13 | $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 $173.78 Median $257.04 Typical High $398.11 | Professional | 51 · Multiple procedures | $173.78 | $257.04 | $398.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $69.18 Median $102.33 Typical High $158.49 | Professional | 80 · Assistant surgeon | $69.18 | $102.33 | $158.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $47.86 Median $72.44 Typical High $112.20 | Professional | 81 · Minimal assistant surgeon | $47.86 | $72.44 | $112.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $47.86 Median $72.44 Typical High $112.20 | Professional | 82 · Assistant surgeon, no resident | $47.86 | $72.44 | $112.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $47.86 Median $72.44 Typical High $112.20 | Professional | AS · PA/NP assist | $47.86 | $72.44 | $112.20 |
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· 34th of 51
$490
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.