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 $63.10 Median $63.10 Typical High $70.79 | Facility | None | $63.10 | $63.10 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $75.86 | Professional | None | $63.10 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $35.48 Typical High $38.02 | Professional | 52 · Reduced service | $31.62 | $35.48 | $38.02 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $64.57 Median $85.11 Typical High $85.11 | Professional | 29 | $64.57 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $85.11 Typical High $131.83 | Professional | None | $81.28 | $85.11 | $131.83 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $79.43 Typical High $208.93 | Facility | None | $69.18 | $79.43 | $208.93 |
Medcost Setting Professional Modifier None Typical Low $64.57 Median $66.07 Typical High $97.72 | Professional | None | $64.57 | $66.07 | $97.72 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $194.98 | Professional | None | $102.33 | $138.04 | $194.98 |
United Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $125.89 | Professional | None | $70.79 | $87.10 | $125.89 |
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 $32.36 Median $33.11 Typical High $61.66 | Professional | 51 · Multiple procedures | $32.36 | $33.11 | $61.66 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.88 Median $13.18 Typical High $24.55 | Professional | 80 · Assistant surgeon | $12.88 | $13.18 | $24.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.12 Median $9.12 Typical High $16.98 | Professional | 81 · Minimal assistant surgeon | $9.12 | $9.12 | $16.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.12 Median $9.12 Typical High $16.98 | Professional | 82 · Assistant surgeon, no resident | $9.12 | $9.12 | $16.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.12 Median $9.12 Typical High $16.98 | Professional | AS · PA/NP assist | $9.12 | $9.12 | $16.98 |
Where South Carolina sits
The same service costs 3.0 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· 41st of 51
$72.44
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.