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 $37.15 Median $37.15 Typical High $58.88 | Facility | None | $37.15 | $37.15 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $46.77 Typical High $58.88 | Professional | None | $36.31 | $46.77 | $58.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $263.03 Median $446.68 Typical High $776.25 | Facility | None | $263.03 | $446.68 | $776.25 |
BCBS South Carolina Setting Professional Modifier None Typical Low $31.62 Median $41.69 Typical High $60.26 | Professional | None | $31.62 | $41.69 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $42.66 Typical High $87.10 | Professional | None | $31.62 | $42.66 | $87.10 |
Medcost Setting Facility Modifier None Typical Low $37.15 Median $52.48 Typical High $97.72 | Facility | None | $37.15 | $52.48 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $46.77 Typical High $75.86 | Professional | None | $45.71 | $46.77 | $75.86 |
Molina Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $125.89 | Professional | None | $66.07 | $83.18 | $125.89 |
United Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $245.47 | Facility | None | $158.49 | $190.55 | $245.47 |
United Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $81.28 | Professional | None | $33.88 | $48.98 | $81.28 |
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 $22.39 Median $22.91 Typical High $48.98 | Professional | 51 · Multiple procedures | $22.39 | $22.91 | $48.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.91 Median $9.33 Typical High $19.50 | Professional | 80 · Assistant surgeon | $8.91 | $9.33 | $19.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.17 Median $6.46 Typical High $13.49 | Professional | 81 · Minimal assistant surgeon | $6.17 | $6.46 | $13.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.17 Median $6.46 Typical High $13.49 | Professional | 82 · Assistant surgeon, no resident | $6.17 | $6.46 | $13.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.17 Median $6.46 Typical High $13.49 | Professional | AS · PA/NP assist | $6.17 | $6.46 | $13.49 |
Where South Carolina sits
The same service costs 3.2 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· 36th of 51
$51.29
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.