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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $977.24 | Professional | None | $831.76 | $831.76 | $977.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $416.87 Typical High $436.52 | Professional | 52 · Reduced service | $416.87 | $416.87 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $165.96 Typical High $173.78 | Professional | 53 · Discontinued | $165.96 | $165.96 | $173.78 |
Ambetter Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
BCBS 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 Setting Professional Modifier None Typical Low $691.83 Median $724.44 Typical High $1,000.00 | Professional | None | $691.83 | $724.44 | $1,000.00 |
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 $954.99 Median $1,479.11 Typical High $1,698.24 | Professional | None | $954.99 | $1,479.11 | $1,698.24 |
Medcost Setting Facility Modifier None Typical Low $794.33 Median $912.01 Typical High $1,122.02 | Facility | None | $794.33 | $912.01 | $1,122.02 |
Medcost Setting Professional Modifier None Typical Low $630.96 Median $933.25 Typical High $1,096.48 | Professional | None | $630.96 | $933.25 | $1,096.48 |
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 $407.38 Median $602.56 Typical High $1,258.93 | Professional | None | $407.38 | $602.56 | $1,258.93 |
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 $316.23 Median $467.74 Typical High $724.44 | Professional | 51 · Multiple procedures | $316.23 | $467.74 | $724.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $125.89 Median $186.21 Typical High $288.40 | Professional | 80 · Assistant surgeon | $125.89 | $186.21 | $288.40 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $87.10 Median $131.83 Typical High $204.17 | Professional | 81 · Minimal assistant surgeon | $87.10 | $131.83 | $204.17 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $87.10 Median $131.83 Typical High $204.17 | Professional | 82 · Assistant surgeon, no resident | $87.10 | $131.83 | $204.17 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $87.10 Median $131.83 Typical High $204.17 | Professional | AS · PA/NP assist | $87.10 | $131.83 | $204.17 |
Where South Carolina sits
The same service costs 2.6 times more in Nebraska than in North Dakota. 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· 47th of 51
$813
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.