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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $69.18 Typical High $72.44 | Professional | None | $67.61 | $69.18 | $72.44 |
BCBS South Carolina Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $66.07 | Professional | None | $61.66 | $61.66 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $93.33 | Professional | None | $58.88 | $64.57 | $93.33 |
Medcost Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $70.79 Typical High $181.97 | Facility | None | $69.18 | $70.79 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $63.10 Median $77.62 Typical High $91.20 | Professional | None | $63.10 | $77.62 | $91.20 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $112.20 | Professional | None | $60.26 | $75.86 | $112.20 |
United Setting Professional Modifier None Typical Low $50.12 Median $63.10 Typical High $95.50 | Professional | None | $50.12 | $63.10 | $95.50 |
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 $30.90 Median $41.69 Typical High $48.98 | Professional | 51 · Multiple procedures | $30.90 | $41.69 | $48.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.59 Median $16.60 Typical High $19.50 | Professional | 80 · Assistant surgeon | $12.59 | $16.60 | $19.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.71 Median $11.75 Typical High $13.49 | Professional | 81 · Minimal assistant surgeon | $8.71 | $11.75 | $13.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.71 Median $11.75 Typical High $13.49 | Professional | 82 · Assistant surgeon, no resident | $8.71 | $11.75 | $13.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.71 Median $11.75 Typical High $13.49 | Professional | AS · PA/NP assist | $8.71 | $11.75 | $13.49 |
Where South Carolina sits
The same service costs 2.8 times more in Alaska than in Florida. 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
$66.07
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.