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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $95.50 Typical High $95.50 | Professional | None | $61.66 | $95.50 | $95.50 |
BCBS South Carolina Setting Facility Modifier None Typical Low $275.42 Median $467.74 Typical High $812.83 | Facility | None | $275.42 | $467.74 | $812.83 |
BCBS South Carolina Setting Professional Modifier None Typical Low $97.72 Median $173.78 Typical High $186.21 | Professional | None | $97.72 | $173.78 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $245.47 Median $309.03 Typical High $380.19 | Professional | None | $245.47 | $309.03 | $380.19 |
Medcost Setting Facility Modifier None Typical Low $72.44 Median $109.65 Typical High $229.09 | Facility | None | $72.44 | $109.65 | $229.09 |
Medcost Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $239.88 | Professional | None | $107.15 | $125.89 | $239.88 |
Molina Setting Professional Modifier None Typical Low $87.10 Median $114.82 Typical High $173.78 | Professional | None | $87.10 | $114.82 | $173.78 |
United Setting Facility Modifier None Typical Low $562.34 Median $676.08 Typical High $891.25 | Facility | None | $562.34 | $676.08 | $891.25 |
United Setting Professional Modifier None Typical Low $47.86 Median $100.00 Typical High $234.42 | Professional | None | $47.86 | $100.00 | $234.42 |
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 $63.10 Median $67.61 Typical High $120.23 | Professional | 51 · Multiple procedures | $63.10 | $67.61 | $120.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.12 Median $26.92 Typical High $47.86 | Professional | 80 · Assistant surgeon | $25.12 | $26.92 | $47.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.78 Median $18.62 Typical High $33.88 | Professional | 81 · Minimal assistant surgeon | $17.78 | $18.62 | $33.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.78 Median $18.62 Typical High $33.88 | Professional | 82 · Assistant surgeon, no resident | $17.78 | $18.62 | $33.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.78 Median $18.62 Typical High $33.88 | Professional | AS · PA/NP assist | $17.78 | $18.62 | $33.88 |
Where South Carolina sits
The same service costs 3.2 times more in North Carolina 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· 14th of 51
$129
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.