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 $6.17 Median $6.17 Typical High $7.76 | Facility | None | $6.17 | $6.17 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $6.17 Typical High $6.17 | Professional | None | $5.75 | $6.17 | $6.17 |
BCBS South Carolina Setting Facility Modifier None Typical Low $63.10 Median $107.15 Typical High $181.97 | Facility | None | $63.10 | $107.15 | $181.97 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $6.76 | Professional | None | $5.75 | $5.75 | $6.76 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
Medcost Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Medcost Setting Facility Modifier None Typical Low $6.17 Median $8.32 Typical High $16.60 | Facility | None | $6.17 | $8.32 | $16.60 |
Medcost Setting Professional Modifier None Typical Low $6.92 Median $10.00 Typical High $12.59 | Professional | None | $6.92 | $10.00 | $12.59 |
United Setting Facility Modifier None Typical Low $120.23 Median $147.91 Typical High $190.55 | Facility | None | $120.23 | $147.91 | $190.55 |
United Setting Professional Modifier None Typical Low $6.46 Median $9.77 Typical High $16.98 | Professional | None | $6.46 | $9.77 | $16.98 |
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 $4.37 Median $6.03 Typical High $6.31 | Professional | 51 · Multiple procedures | $4.37 | $6.03 | $6.31 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1.74 Median $2.40 Typical High $2.51 | Professional | 80 · Assistant surgeon | $1.74 | $2.40 | $2.51 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.23 Median $1.70 Typical High $1.74 | Professional | 81 · Minimal assistant surgeon | $1.23 | $1.70 | $1.74 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.23 Median $1.70 Typical High $1.74 | Professional | 82 · Assistant surgeon, no resident | $1.23 | $1.70 | $1.74 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.23 Median $1.70 Typical High $1.74 | Professional | AS · PA/NP assist | $1.23 | $1.70 | $1.74 |
Where South Carolina sits
The same service costs 3.2 times more in Massachusetts 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· 48th of 51
$6.46
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.