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 $7.41 Median $7.41 Typical High $12.59 | Facility | None | $7.41 | $7.41 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $10.47 Typical High $12.59 | Professional | None | $7.41 | $10.47 | $12.59 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.76 Median $16.98 Typical High $17.38 | Professional | None | $7.76 | $16.98 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $14.79 Typical High $21.88 | Professional | None | $9.12 | $14.79 | $21.88 |
Medcost Setting Facility Modifier None Typical Low $8.13 Median $12.59 Typical High $23.99 | Facility | None | $8.13 | $12.59 | $23.99 |
Medcost Setting Professional Modifier None Typical Low $11.48 Median $12.88 Typical High $17.38 | Professional | None | $11.48 | $12.88 | $17.38 |
Molina Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier None Typical Low $8.32 Median $13.18 Typical High $20.42 | Professional | None | $8.32 | $13.18 | $20.42 |
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 $5.75 Median $5.89 Typical High $10.72 | Professional | 51 · Multiple procedures | $5.75 | $5.89 | $10.72 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.29 Median $2.34 Typical High $4.27 | Professional | 80 · Assistant surgeon | $2.29 | $2.34 | $4.27 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.62 Median $1.62 Typical High $3.02 | Professional | 81 · Minimal assistant surgeon | $1.62 | $1.62 | $3.02 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.62 Median $1.62 Typical High $3.02 | Professional | 82 · Assistant surgeon, no resident | $1.62 | $1.62 | $3.02 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.62 Median $1.62 Typical High $3.02 | Professional | AS · PA/NP assist | $1.62 | $1.62 | $3.02 |
Where South Carolina sits
The same service costs 2.8 times more in Minnesota than in Kentucky. 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· 31st of 51
$12.59
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.