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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $45.71 Typical High $45.71 | Professional | None | $43.65 | $45.71 | $45.71 |
BCBS South Carolina Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $42.66 | Professional | None | $40.74 | $40.74 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $77.62 | Professional | None | $43.65 | $47.86 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $45.71 Median $46.77 Typical High $117.49 | Facility | None | $45.71 | $46.77 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $60.26 | Professional | None | $33.11 | $41.69 | $60.26 |
United Setting Professional Modifier None Typical Low $33.11 Median $44.67 Typical High $67.61 | Professional | None | $33.11 | $44.67 | $67.61 |
7 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 Professional Modifier 52 · Reduced service Typical Low $21.88 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $21.88 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $8.71 | $9.12 | $9.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $25.70 Median $25.70 Typical High $31.62 | Professional | 51 · Multiple procedures | $25.70 | $25.70 | $31.62 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.47 Median $10.47 Typical High $12.59 | Professional | 80 · Assistant surgeon | $10.47 | $10.47 | $12.59 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.24 Median $7.24 Typical High $8.91 | Professional | 81 · Minimal assistant surgeon | $7.24 | $7.24 | $8.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.24 Median $7.24 Typical High $8.91 | Professional | 82 · Assistant surgeon, no resident | $7.24 | $7.24 | $8.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.24 Median $7.24 Typical High $8.91 | Professional | AS · PA/NP assist | $7.24 | $7.24 | $8.91 |
Where South Carolina sits
The same service costs 4.4 times more in Alaska than in Missouri. 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· 39th of 51
$43.65
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.