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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $776.25 | Professional | None | $645.65 | $645.65 | $776.25 |
Ambetter Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
BCBS Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $616.60 | Professional | None | $549.54 | $549.54 | $616.60 |
BCBS Setting Professional Modifier 29 Typical Low $660.69 Median $1,096.48 Typical High $1,148.15 | Professional | 29 | $660.69 | $1,096.48 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,148.15 | Professional | None | $776.25 | $776.25 | $1,148.15 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,445.44 | Professional | None | $1,023.29 | $1,023.29 | $1,445.44 |
Medcost Setting Facility Modifier None Typical Low $645.65 Median $812.83 Typical High $2,137.96 | Facility | None | $645.65 | $812.83 | $2,137.96 |
Medcost Setting Professional Modifier None Typical Low $831.76 Median $891.25 Typical High $1,174.90 | Professional | None | $831.76 | $891.25 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $1,258.93 | Professional | None | $645.65 | $812.83 | $1,258.93 |
United Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $1,122.02 | Professional | None | $645.65 | $776.25 | $1,122.02 |
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 $416.87 Median $478.63 Typical High $741.31 | Professional | 51 · Multiple procedures | $416.87 | $478.63 | $741.31 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $169.82 Median $190.55 Typical High $275.42 | Professional | 80 · Assistant surgeon | $169.82 | $190.55 | $275.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $117.49 Median $134.90 Typical High $194.98 | Professional | 81 · Minimal assistant surgeon | $117.49 | $134.90 | $194.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $117.49 Median $134.90 Typical High $194.98 | Professional | 82 · Assistant surgeon, no resident | $117.49 | $134.90 | $194.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $117.49 Median $134.90 Typical High $194.98 | Professional | AS · PA/NP assist | $117.49 | $134.90 | $194.98 |
Where South Carolina sits
The same service costs 2.8 times more in Alaska than in Utah. 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· 40th of 51
$776
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.