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 $1.70 Median $1.91 Typical High $2.24 | Facility | None | $1.70 | $1.91 | $2.24 |
Aetna Setting Professional Modifier None Typical Low $1.70 Median $1.91 Typical High $2.24 | Professional | None | $1.70 | $1.91 | $2.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.95 Median $1.12 Typical High $1.12 | Professional | 52 · Reduced service | $0.95 | $1.12 | $1.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.38 Median $0.45 Typical High $0.45 | Professional | 53 · Discontinued | $0.38 | $0.45 | $0.45 |
BCBS South Carolina Setting Facility Modifier None Typical Low $25.12 Median $35.48 Typical High $83.18 | Facility | None | $25.12 | $35.48 | $83.18 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | 29 | $2.14 | $2.14 | $2.14 |
Cigna Setting Professional Modifier None Typical Low $1.00 Median $5.01 Typical High $5.01 | Professional | None | $1.00 | $5.01 | $5.01 |
Medcost Setting Facility Modifier None Typical Low $2.24 Median $2.45 Typical High $6.03 | Facility | None | $2.24 | $2.45 | $6.03 |
Medcost Setting Professional Modifier None Typical Low $1.55 Median $1.82 Typical High $2.51 | Professional | None | $1.55 | $1.82 | $2.51 |
United Setting Facility Modifier None Typical Low $120.23 Median $147.91 Typical High $190.55 | Facility | None | $120.23 | $147.91 | $190.55 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.24 Typical High $2.95 | Professional | None | $1.86 | $2.24 | $2.95 |
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 $0.78 Median $0.91 Typical High $1.58 | Professional | 51 · Multiple procedures | $0.78 | $0.91 | $1.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $0.31 Median $0.36 Typical High $0.63 | Professional | 80 · Assistant surgeon | $0.31 | $0.36 | $0.63 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.22 Median $0.25 Typical High $0.44 | Professional | 81 · Minimal assistant surgeon | $0.22 | $0.25 | $0.44 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.22 Median $0.25 Typical High $0.44 | Professional | 82 · Assistant surgeon, no resident | $0.22 | $0.25 | $0.44 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.22 Median $0.25 Typical High $0.44 | Professional | AS · PA/NP assist | $0.22 | $0.25 | $0.44 |
Where South Carolina sits
The same service costs 2.2 times more in North Dakota 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· 41st of 51
$2.00
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.