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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $14.45 Typical High $20.42 | Professional | None | $13.80 | $14.45 | $20.42 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $22.91 | Professional | None | $14.45 | $14.45 | $22.91 |
BCBS South Carolina Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $15.49 | Professional | None | $13.80 | $13.80 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Medcost Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Medcost Setting Facility Modifier None Typical Low $14.45 Median $19.50 Typical High $38.90 | Facility | None | $14.45 | $19.50 | $38.90 |
Medcost Setting Professional Modifier None Typical Low $16.22 Median $19.05 Typical High $19.50 | Professional | None | $16.22 | $19.05 | $19.50 |
United Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $27.54 | Professional | None | $13.49 | $18.62 | $27.54 |
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 $9.12 Median $9.55 Typical High $12.30 | Professional | 51 · Multiple procedures | $9.12 | $9.55 | $12.30 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.63 Median $3.80 Typical High $4.90 | Professional | 80 · Assistant surgeon | $3.63 | $3.80 | $4.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.51 Median $2.63 Typical High $3.47 | Professional | 81 · Minimal assistant surgeon | $2.51 | $2.63 | $3.47 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.51 Median $2.63 Typical High $3.47 | Professional | 82 · Assistant surgeon, no resident | $2.51 | $2.63 | $3.47 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.51 Median $2.63 Typical High $3.47 | Professional | AS · PA/NP assist | $2.51 | $2.63 | $3.47 |
Where South Carolina sits
The same service costs 3.2 times more in Alaska 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· 49th of 51
$14.45
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.