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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $107.15 Typical High $107.15 | Professional | None | $93.33 | $107.15 | $107.15 |
BCBS South Carolina Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $120.23 | Professional | None | $114.82 | $114.82 | $120.23 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $91.20 Median $100.00 Typical High $134.90 | Professional | 29 | $91.20 | $100.00 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Medcost Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Medcost Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $141.25 | Professional | None | $93.33 | $93.33 | $141.25 |
Molina Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $190.55 | Professional | None | $100.00 | $131.83 | $190.55 |
United Setting Professional Modifier None Typical Low $91.20 Median $104.71 Typical High $177.83 | Professional | None | $91.20 | $104.71 | $177.83 |
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 $45.71 Median $46.77 Typical High $93.33 | Professional | 51 · Multiple procedures | $45.71 | $46.77 | $93.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $18.62 Median $18.62 Typical High $38.02 | Professional | 80 · Assistant surgeon | $18.62 | $18.62 | $38.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.88 Median $12.88 Typical High $26.30 | Professional | 81 · Minimal assistant surgeon | $12.88 | $12.88 | $26.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.88 Median $12.88 Typical High $26.30 | Professional | 82 · Assistant surgeon, no resident | $12.88 | $12.88 | $26.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.88 Median $12.88 Typical High $26.30 | Professional | AS · PA/NP assist | $12.88 | $12.88 | $26.30 |
Where South Carolina sits
The same service costs 2.8 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· 25th of 51
$112
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.