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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $45.71 Typical High $45.71 | Professional | None | $44.67 | $45.71 | $45.71 |
BCBS South Carolina Setting Professional Modifier None Typical Low $39.81 Median $43.65 Typical High $45.71 | Professional | None | $39.81 | $43.65 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $83.18 | Professional | None | $39.81 | $47.86 | $83.18 |
Medcost Setting Facility Modifier None Typical Low $45.71 Median $50.12 Typical High $123.03 | Facility | None | $45.71 | $50.12 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $42.66 Median $43.65 Typical High $60.26 | Professional | None | $42.66 | $43.65 | $60.26 |
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 $38.90 Median $45.71 Typical High $75.86 | Professional | None | $38.90 | $45.71 | $75.86 |
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 $19.95 Median $21.88 Typical High $39.81 | Professional | 51 · Multiple procedures | $19.95 | $21.88 | $39.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.94 Median $8.71 Typical High $15.85 | Professional | 80 · Assistant surgeon | $7.94 | $8.71 | $15.85 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.62 Median $6.17 Typical High $11.22 | Professional | 81 · Minimal assistant surgeon | $5.62 | $6.17 | $11.22 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.62 Median $6.17 Typical High $11.22 | Professional | 82 · Assistant surgeon, no resident | $5.62 | $6.17 | $11.22 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.62 Median $6.17 Typical High $11.22 | Professional | AS · PA/NP assist | $5.62 | $6.17 | $11.22 |
Where South Carolina sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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
$43.65
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.