How much rates vary
Facilitymedian $501 · 10th to 90th $132 to $1,000Professionalmedian $112 · 10th to 90th $98 to $148
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 $97.72 Median $112.20 Typical High $131.83 | Facility | None | $97.72 | $112.20 | $131.83 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $64.57 Median $66.07 Typical High $66.07 | Facility | 52 · Reduced service | $64.57 | $66.07 | $66.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.70 Median $26.30 Typical High $26.30 | Facility | 53 · Discontinued | $25.70 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $112.20 Typical High $131.83 | Professional | None | $97.72 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $63.10 Median $64.57 Typical High $66.07 | Professional | 52 · Reduced service | $63.10 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.70 Typical High $26.30 | Professional | 53 · Discontinued | $25.12 | $25.70 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $114.82 | Professional | None | $97.72 | $114.82 | $114.82 |
BCBS South Carolina Setting Facility Modifier None Typical Low $269.15 Median $501.19 Typical High $1,096.48 | Facility | None | $269.15 | $501.19 | $1,096.48 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $79.43 Median $151.36 Typical High $158.49 | Professional | 29 | $79.43 | $151.36 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $234.42 | Professional | None | $120.23 | $138.04 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $144.54 Typical High $346.74 | Facility | None | $131.83 | $144.54 | $346.74 |
Medcost Setting Professional Modifier None Typical Low $104.71 Median $112.20 Typical High $158.49 | Professional | None | $104.71 | $112.20 | $158.49 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $257.04 | Professional | None | $128.82 | $158.49 | $257.04 |
United Setting Facility Modifier None Typical Low $537.03 Median $660.69 Typical High $851.14 | Facility | None | $537.03 | $660.69 | $851.14 |
United Setting Professional Modifier None Typical Low $107.15 Median $134.90 Typical High $208.93 | Professional | None | $107.15 | $134.90 | $208.93 |
8 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $128.82 Median $128.82 Typical High $131.83 | Facility | AF · Specialist physician | $128.82 | $128.82 | $131.83 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | HO · Master's level | $97.72 | $97.72 | $97.72 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $109.65 Median $109.65 Typical High $112.20 | Facility | TD · Registered nurse | $109.65 | $109.65 | $112.20 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $52.48 Median $56.23 Typical High $91.20 | Professional | 51 · Multiple procedures | $52.48 | $56.23 | $91.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.89 Median $22.39 Typical High $36.31 | Professional | 80 · Assistant surgeon | $20.89 | $22.39 | $36.31 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.79 Median $15.85 Typical High $25.70 | Professional | 81 · Minimal assistant surgeon | $14.79 | $15.85 | $25.70 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.79 Median $15.85 Typical High $25.70 | Professional | 82 · Assistant surgeon, no resident | $14.79 | $15.85 | $25.70 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.79 Median $15.85 Typical High $25.70 | Professional | AS · PA/NP assist | $14.79 | $15.85 | $25.70 |
Where South Carolina sits
The same service costs 2.4 times more in Alaska than in Ohio. 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· 42nd of 51
$115
AK $245OH $102
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.