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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $75.86 Typical High $75.86 | Professional | None | $74.13 | $75.86 | $75.86 |
BCBS South Carolina Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | None | $70.79 | $70.79 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $64.57 Typical High $131.83 | Professional | None | $41.69 | $64.57 | $131.83 |
Medcost Setting Facility Modifier None Typical Low $75.86 Median $79.43 Typical High $204.17 | Facility | None | $75.86 | $79.43 | $204.17 |
Medcost Setting Professional Modifier None Typical Low $38.02 Median $38.90 Typical High $85.11 | Professional | None | $38.02 | $38.90 | $85.11 |
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 $30.20 Median $50.12 Typical High $85.11 | Professional | None | $30.20 | $50.12 | $85.11 |
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 $37.15 Median $38.02 Typical High $38.02 | Professional | 52 · Reduced service | $37.15 | $38.02 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.49 Typical High $15.49 | Professional | 53 · Discontinued | $14.79 | $15.49 | $15.49 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.05 Median $19.50 Typical High $53.70 | Professional | 51 · Multiple procedures | $19.05 | $19.50 | $53.70 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.76 Median $7.76 Typical High $21.38 | Professional | 80 · Assistant surgeon | $7.76 | $7.76 | $21.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.37 Median $5.50 Typical High $15.14 | Professional | 81 · Minimal assistant surgeon | $5.37 | $5.50 | $15.14 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.37 Median $5.50 Typical High $15.14 | Professional | 82 · Assistant surgeon, no resident | $5.37 | $5.50 | $15.14 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.37 Median $5.50 Typical High $15.14 | Professional | AS · PA/NP assist | $5.37 | $5.50 | $15.14 |
Where South Carolina sits
The same service costs 6.6 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· 29th of 51
$70.79
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.