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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $229.09 | Professional | None | $194.98 | $194.98 | $229.09 |
BCBS South Carolina Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $323.59 | Professional | None | $275.42 | $275.42 | $323.59 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $199.53 Median $309.03 Typical High $309.03 | Professional | 29 | $199.53 | $309.03 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $338.84 | Professional | None | $234.42 | $234.42 | $338.84 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $436.52 | Professional | None | $309.03 | $309.03 | $436.52 |
Medcost Setting Facility Modifier None Typical Low $194.98 Median $263.03 Typical High $630.96 | Facility | None | $194.98 | $263.03 | $630.96 |
Medcost Setting Professional Modifier None Typical Low $257.04 Median $269.15 Typical High $302.00 | Professional | None | $257.04 | $269.15 | $302.00 |
Molina Setting Professional Modifier None Typical Low $194.98 Median $239.88 Typical High $380.19 | Professional | None | $194.98 | $239.88 | $380.19 |
United Setting Professional Modifier None Typical Low $194.98 Median $234.42 Typical High $331.13 | Professional | None | $194.98 | $234.42 | $331.13 |
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 $128.82 Median $144.54 Typical High $165.96 | Professional | 51 · Multiple procedures | $128.82 | $144.54 | $165.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $51.29 Median $57.54 Typical High $67.61 | Professional | 80 · Assistant surgeon | $51.29 | $57.54 | $67.61 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $35.48 Median $40.74 Typical High $46.77 | Professional | 81 · Minimal assistant surgeon | $35.48 | $40.74 | $46.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $35.48 Median $40.74 Typical High $46.77 | Professional | 82 · Assistant surgeon, no resident | $35.48 | $40.74 | $46.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $35.48 Median $40.74 Typical High $46.77 | Professional | AS · PA/NP assist | $35.48 | $40.74 | $46.77 |
Where South Carolina sits
The same service costs 2.9 times more in Alaska than in New York. 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
$234
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.