How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $165.96 Typical High $190.55 | Professional | None | $158.49 | $165.96 | $190.55 |
BCBS South Carolina Setting Facility Modifier None Typical Low $38.90 Median $75.86 Typical High $229.09 | Facility | None | $38.90 | $75.86 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $288.40 Typical High $371.54 | Facility | None | $169.82 | $288.40 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Medcost Setting Facility Modifier None Typical Low $70.79 Median $181.97 Typical High $223.87 | Facility | None | $70.79 | $181.97 | $223.87 |
Medcost Setting Professional Modifier None Typical Low $3.63 Median $3.72 Typical High $234.42 | Professional | None | $3.63 | $3.72 | $234.42 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,995.26 Typical High $2,570.40 | Facility | None | $1,621.81 | $1,995.26 | $2,570.40 |
United Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
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 $1.82 Median $1.82 Typical High $147.91 | Professional | 51 · Multiple procedures | $1.82 | $1.82 | $147.91 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $0.72 Median $0.74 Typical High $58.88 | Professional | 80 · Assistant surgeon | $0.72 | $0.74 | $58.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.51 Median $0.52 Typical High $40.74 | Professional | 81 · Minimal assistant surgeon | $0.51 | $0.52 | $40.74 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.51 Median $0.52 Typical High $40.74 | Professional | 82 · Assistant surgeon, no resident | $0.51 | $0.52 | $40.74 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.51 Median $0.52 Typical High $40.74 | Professional | AS · PA/NP assist | $0.51 | $0.52 | $40.74 |
Where South Carolina sits
The same service costs 3.9 times more in New York 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· 28th of 51
$166
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.