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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $23.44 | Professional | None (both parts) | $20.89 | $20.89 | $23.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 26 · Professional part | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | TC · Technical part | $13.18 | $13.18 | $13.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,445.44 Median $2,290.87 Typical High $4,265.80 | Facility | None | $1,445.44 | $2,290.87 | $4,265.80 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None (both parts) | $22.39 | $22.39 | $22.39 |
Medcost Setting Facility Modifier None Typical Low $20.42 Median $22.91 Typical High $28.18 | Facility | None | $20.42 | $22.91 | $28.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $46.77 | Professional | None (both parts) | $20.89 | $20.89 | $46.77 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $19.05 | Professional | 26 · Professional part | $8.32 | $8.32 | $19.05 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $14.13 Typical High $32.36 | Professional | TC · Technical part | $14.13 | $14.13 | $32.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
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 $10.23 Median $10.47 Typical High $35.48 | Professional | 51 · Multiple procedures | $10.23 | $10.47 | $35.48 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.17 Median $4.17 Typical High $14.45 | Professional | 80 · Assistant surgeon | $4.17 | $4.17 | $14.45 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.88 Median $2.95 Typical High $10.00 | Professional | 81 · Minimal assistant surgeon | $2.88 | $2.95 | $10.00 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.88 Median $2.95 Typical High $10.00 | Professional | 82 · Assistant surgeon, no resident | $2.88 | $2.95 | $10.00 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.88 Median $2.95 Typical High $10.00 | Professional | AS · PA/NP assist | $2.88 | $2.95 | $10.00 |
Where South Carolina sits
The same service costs 20.9 times more in Arizona than in New Jersey. 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· 42nd of 51
$22.39
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.