How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $33.11 Typical High $33.11 | Professional | None | $31.62 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $15.85 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $6.31 | $6.61 | $6.61 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
BCBS South Carolina Setting Professional Modifier None Typical Low $26.30 Median $35.48 Typical High $50.12 | Professional | None | $26.30 | $35.48 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $63.10 | Professional | None | $35.48 | $37.15 | $63.10 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $36.31 Typical High $87.10 | Facility | None | $33.11 | $36.31 | $87.10 |
Medcost Setting Professional Modifier None Typical Low $25.70 Median $36.31 Typical High $47.86 | Professional | None | $25.70 | $36.31 | $47.86 |
Molina Setting Professional Modifier None Typical Low $34.67 Median $43.65 Typical High $66.07 | Professional | None | $34.67 | $43.65 | $66.07 |
United Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $56.23 | Professional | None | $30.20 | $37.15 | $56.23 |
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 $12.88 Median $18.20 Typical High $30.20 | Professional | 51 · Multiple procedures | $12.88 | $18.20 | $30.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.01 Median $7.41 Typical High $11.48 | Professional | 80 · Assistant surgeon | $5.01 | $7.41 | $11.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.47 Median $5.13 Typical High $8.13 | Professional | 81 · Minimal assistant surgeon | $3.47 | $5.13 | $8.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.47 Median $5.13 Typical High $8.13 | Professional | 82 · Assistant surgeon, no resident | $3.47 | $5.13 | $8.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.47 Median $5.13 Typical High $8.13 | Professional | AS · PA/NP assist | $3.47 | $5.13 | $8.13 |
Where South Carolina sits
The same service costs 3.0 times more in Alaska than in New York. 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· 31st of 51
$36.31
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.