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 $25.12 Median $25.12 Typical High $33.11 | Facility | None | $25.12 | $25.12 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $32.36 Typical High $37.15 | Professional | None | $25.12 | $32.36 | $37.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $15.49 Typical High $16.22 | Professional | 52 · Reduced service | $12.59 | $15.49 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.17 Typical High $6.61 | Professional | 53 · Discontinued | $5.01 | $6.17 | $6.61 |
Ambetter Setting Professional Modifier None Typical Low $33.88 Median $37.15 Typical High $39.81 | Professional | None | $33.88 | $37.15 | $39.81 |
BCBS South Carolina Setting Professional Modifier None Typical Low $25.70 Median $39.81 Typical High $39.81 | Professional | None | $25.70 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $39.81 Typical High $48.98 | Professional | None | $32.36 | $39.81 | $48.98 |
Medcost Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Medcost Setting Facility Modifier None Typical Low $25.12 Median $33.11 Typical High $44.67 | Facility | None | $25.12 | $33.11 | $44.67 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $46.77 | Professional | None | $45.71 | $45.71 | $46.77 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $77.62 Typical High $120.23 | Professional | None | $54.95 | $77.62 | $120.23 |
United Setting Professional Modifier None Typical Low $28.18 Median $37.15 Typical High $48.98 | Professional | None | $28.18 | $37.15 | $48.98 |
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 $22.91 Median $22.91 Typical High $28.18 | Professional | 51 · Multiple procedures | $22.91 | $22.91 | $28.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.12 Median $9.12 Typical High $11.22 | Professional | 80 · Assistant surgeon | $9.12 | $9.12 | $11.22 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.46 Median $6.46 Typical High $7.94 | Professional | 81 · Minimal assistant surgeon | $6.46 | $6.46 | $7.94 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.46 Median $6.46 Typical High $7.94 | Professional | 82 · Assistant surgeon, no resident | $6.46 | $6.46 | $7.94 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.46 Median $6.46 Typical High $7.94 | Professional | AS · PA/NP assist | $6.46 | $6.46 | $7.94 |
Where South Carolina sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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· 32nd of 51
$37.15
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.