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 $134.90 Median $134.90 Typical High $169.82 | Facility | None | $134.90 | $134.90 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $144.54 Typical High $169.82 | Professional | None | $131.83 | $144.54 | $169.82 |
BCBS South Carolina Setting Facility Modifier None Typical Low $199.53 Median $309.03 Typical High $691.83 | Facility | None | $199.53 | $309.03 | $691.83 |
BCBS South Carolina Setting Professional Modifier None Typical Low $112.20 Median $158.49 Typical High $165.96 | Professional | None | $112.20 | $158.49 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $165.96 | Professional | None | $128.82 | $158.49 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $162.18 Typical High $204.17 | Facility | None | $131.83 | $162.18 | $204.17 |
Medcost Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $208.93 | Professional | None | $87.10 | $125.89 | $208.93 |
Molina Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $309.03 | Professional | None | $151.36 | $194.98 | $309.03 |
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 $87.10 Median $125.89 Typical High $181.97 | Professional | None | $87.10 | $125.89 | $181.97 |
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 $43.65 Median $63.10 Typical High $120.23 | Professional | 51 · Multiple procedures | $43.65 | $63.10 | $120.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.38 Median $25.12 Typical High $47.86 | Professional | 80 · Assistant surgeon | $17.38 | $25.12 | $47.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.02 Median $17.38 Typical High $33.11 | Professional | 81 · Minimal assistant surgeon | $12.02 | $17.38 | $33.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.02 Median $17.38 Typical High $33.11 | Professional | 82 · Assistant surgeon, no resident | $12.02 | $17.38 | $33.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.02 Median $17.38 Typical High $33.11 | Professional | AS · PA/NP assist | $12.02 | $17.38 | $33.11 |
Where South Carolina sits
The same service costs 2.8 times more in Alaska 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· 30th of 51
$158
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.