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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | None | $97.72 | $97.72 | $117.49 |
BCBS South Carolina Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $162.18 | Professional | None | $138.04 | $138.04 | $162.18 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $100.00 Median $154.88 Typical High $154.88 | Professional | 29 | $100.00 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $173.78 | Professional | None | $117.49 | $117.49 | $173.78 |
Medcost Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $213.80 | Professional | None | $151.36 | $151.36 | $213.80 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $125.89 Typical High $323.59 | Facility | None | $97.72 | $125.89 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $134.90 Typical High $144.54 | Professional | None | $128.82 | $134.90 | $144.54 |
Molina Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $128.82 | Professional | None | $66.07 | $83.18 | $128.82 |
United Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $165.96 | Professional | None | $97.72 | $117.49 | $165.96 |
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 $64.57 Median $72.44 Typical High $85.11 | Professional | 51 · Multiple procedures | $64.57 | $72.44 | $85.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.70 Median $28.84 Typical High $33.88 | Professional | 80 · Assistant surgeon | $25.70 | $28.84 | $33.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.78 Median $20.42 Typical High $23.99 | Professional | 81 · Minimal assistant surgeon | $17.78 | $20.42 | $23.99 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.78 Median $20.42 Typical High $23.99 | Professional | 82 · Assistant surgeon, no resident | $17.78 | $20.42 | $23.99 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.78 Median $20.42 Typical High $23.99 | Professional | AS · PA/NP assist | $17.78 | $20.42 | $23.99 |
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· 38th of 51
$117
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.