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 $41.69 Median $41.69 Typical High $57.54 | Facility | None | $41.69 | $41.69 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $57.54 | Professional | None | $41.69 | $50.12 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $25.12 Typical High $28.84 | Professional | 52 · Reduced service | $20.89 | $25.12 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $42.66 Median $69.18 Typical High $74.13 | Professional | 29 | $42.66 | $69.18 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $44.67 Typical High $100.00 | Professional | None | $40.74 | $44.67 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $45.71 Median $57.54 Typical High $138.04 | Facility | None | $45.71 | $57.54 | $138.04 |
Medcost Setting Professional Modifier None Typical Low $30.90 Median $44.67 Typical High $79.43 | Professional | None | $30.90 | $44.67 | $79.43 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $93.33 Typical High $128.82 | Professional | None | $67.61 | $93.33 | $128.82 |
United Setting Professional Modifier None Typical Low $25.12 Median $41.69 Typical High $74.13 | Professional | None | $25.12 | $41.69 | $74.13 |
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 $15.49 Median $22.39 Typical High $50.12 | Professional | 51 · Multiple procedures | $15.49 | $22.39 | $50.12 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.17 Median $8.91 Typical High $19.95 | Professional | 80 · Assistant surgeon | $6.17 | $8.91 | $19.95 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.37 Median $6.17 Typical High $14.13 | Professional | 81 · Minimal assistant surgeon | $4.37 | $6.17 | $14.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.37 Median $6.17 Typical High $14.13 | Professional | 82 · Assistant surgeon, no resident | $4.37 | $6.17 | $14.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.37 Median $6.17 Typical High $14.13 | Professional | AS · PA/NP assist | $4.37 | $6.17 | $14.13 |
Where South Carolina sits
The same service costs 4.1 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· 18th of 51
$57.54
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.