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 $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.32 Typical High $8.32 | Professional | None | $8.13 | $8.32 | $8.32 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $8.91 | Professional | None | $7.94 | $7.94 | $8.91 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | None | $7.76 | $7.76 | $7.76 |
Medcost Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
Medcost Setting Facility Modifier None Typical Low $8.32 Median $9.12 Typical High $22.39 | Facility | None | $8.32 | $9.12 | $22.39 |
Medcost Setting Professional Modifier None Typical Low $7.94 Median $8.51 Typical High $10.96 | Professional | None | $7.94 | $8.51 | $10.96 |
United Setting Professional Modifier None Typical Low $7.08 Median $8.32 Typical High $14.13 | Professional | None | $7.08 | $8.32 | $14.13 |
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 $3.98 Median $4.27 Typical High $5.89 | Professional | 51 · Multiple procedures | $3.98 | $4.27 | $5.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1.58 Median $1.70 Typical High $2.34 | Professional | 80 · Assistant surgeon | $1.58 | $1.70 | $2.34 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.12 Median $1.17 Typical High $1.66 | Professional | 81 · Minimal assistant surgeon | $1.12 | $1.17 | $1.66 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.12 Median $1.17 Typical High $1.66 | Professional | 82 · Assistant surgeon, no resident | $1.12 | $1.17 | $1.66 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.12 Median $1.17 Typical High $1.66 | Professional | AS · PA/NP assist | $1.12 | $1.17 | $1.66 |
Where South Carolina sits
The same service costs 3.5 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· 42nd of 51
$8.13
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.