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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $16.98 | Professional | None | $15.14 | $15.14 | $16.98 |
BCBS South Carolina Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $213.80 | Facility | None | $177.83 | $177.83 | $213.80 |
BCBS South Carolina Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Medcost Setting Facility Modifier None Typical Low $15.14 Median $16.60 Typical High $19.50 | Facility | None | $15.14 | $16.60 | $19.50 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $15.49 Typical High $23.44 | Professional | None | $15.14 | $15.49 | $23.44 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $54.95 | Professional | None | $30.20 | $30.20 | $54.95 |
United Setting Professional Modifier None Typical Low $26.92 Median $35.48 Typical High $41.69 | Professional | None | $26.92 | $35.48 | $41.69 |
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 $7.59 Median $7.76 Typical High $12.30 | Professional | 51 · Multiple procedures | $7.59 | $7.76 | $12.30 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.02 Median $3.09 Typical High $5.01 | Professional | 80 · Assistant surgeon | $3.02 | $3.09 | $5.01 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.14 Median $2.19 Typical High $3.47 | Professional | 81 · Minimal assistant surgeon | $2.14 | $2.19 | $3.47 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.14 Median $2.19 Typical High $3.47 | Professional | 82 · Assistant surgeon, no resident | $2.14 | $2.19 | $3.47 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.14 Median $2.19 Typical High $3.47 | Professional | AS · PA/NP assist | $2.14 | $2.19 | $3.47 |
Where South Carolina sits
The same service costs 4.9 times more in Minnesota than in West Virginia. 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
$16.98
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.