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 $64.57 Median $64.57 Typical High $72.44 | Facility | None | $64.57 | $64.57 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $72.44 | Professional | None | $64.57 | $69.18 | $72.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $151.36 Median $223.87 Typical High $489.78 | Facility | None | $151.36 | $223.87 | $489.78 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $63.10 Median $72.44 Typical High $75.86 | Professional | 29 | $63.10 | $72.44 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $100.00 | Professional | None | $47.86 | $54.95 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $66.07 Median $75.86 Typical High $177.83 | Facility | None | $66.07 | $75.86 | $177.83 |
Medcost Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $85.11 | Professional | None | $56.23 | $60.26 | $85.11 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $190.55 | Professional | None | $95.50 | $120.23 | $190.55 |
United Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $251.19 | Facility | None | $158.49 | $190.55 | $251.19 |
United Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $74.13 | Professional | None | $48.98 | $48.98 | $74.13 |
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 $27.54 Median $30.20 Typical High $50.12 | Professional | 51 · Multiple procedures | $27.54 | $30.20 | $50.12 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.22 Median $12.02 Typical High $20.42 | Professional | 80 · Assistant surgeon | $11.22 | $12.02 | $20.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.76 Median $8.51 Typical High $14.13 | Professional | 81 · Minimal assistant surgeon | $7.76 | $8.51 | $14.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.76 Median $8.51 Typical High $14.13 | Professional | 82 · Assistant surgeon, no resident | $7.76 | $8.51 | $14.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.76 Median $8.51 Typical High $14.13 | Professional | AS · PA/NP assist | $7.76 | $8.51 | $14.13 |
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· 33rd of 51
$64.57
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.