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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | MS · Maintenance fee | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | RR · Rental | $60.26 | $60.26 | $60.26 |
BCBS South Carolina Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $831.76 | Professional | None | $776.25 | $776.25 | $831.76 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $85.11 | Professional | RR · Rental | $79.43 | $79.43 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,202.26 | Facility | None | $1,148.15 | $1,148.15 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $977.24 Typical High $977.24 | Professional | None | $831.76 | $977.24 | $977.24 |
Cigna Setting Professional Modifier RR · Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $97.72 | $97.72 | $97.72 |
Medcost Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $776.25 | Facility | None | $602.56 | $602.56 | $776.25 |
Medcost Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $3,235.94 | Professional | None | $27.54 | $27.54 | $3,235.94 |
Medcost Setting Professional Modifier RR · Rental Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | RR · Rental | $323.59 | $323.59 | $323.59 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $169.82 | Professional | None | $30.20 | $30.20 | $169.82 |
United Setting Professional Modifier None Typical Low $281.84 Median $398.11 Typical High $467.74 | Professional | None | $281.84 | $398.11 | $467.74 |
6 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 50 · Both sides Typical Low $41.69 Median $41.69 Typical High $4,897.79 | Professional | 50 · Both sides | $41.69 | $41.69 | $4,897.79 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $13.80 Median $13.80 Typical High $1,621.81 | Professional | 51 · Multiple procedures | $13.80 | $13.80 | $1,621.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.50 Median $5.50 Typical High $645.65 | Professional | 80 · Assistant surgeon | $5.50 | $5.50 | $645.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.89 Median $3.89 Typical High $457.09 | Professional | 81 · Minimal assistant surgeon | $3.89 | $3.89 | $457.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.89 Median $3.89 Typical High $457.09 | Professional | 82 · Assistant surgeon, no resident | $3.89 | $3.89 | $457.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.89 Median $3.89 Typical High $457.09 | Professional | AS · PA/NP assist | $3.89 | $3.89 | $457.09 |
Where South Carolina sits
The same service costs 51.3 times more in Minnesota than in Nebraska. 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· 32nd of 51
$776
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.