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 $165.96 Median $165.96 Typical High $269.15 | Facility | None | $165.96 | $165.96 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $165.96 Typical High $190.55 | Professional | None | $162.18 | $165.96 | $190.55 |
BCBS South Carolina Setting Professional Modifier None Typical Low $54.95 Median $97.72 Typical High $165.96 | Professional | None | $54.95 | $97.72 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $245.47 Median $263.03 Typical High $263.03 | Professional | None | $245.47 | $263.03 | $263.03 |
Medcost Setting Facility Modifier None Typical Low $165.96 Median $177.83 Typical High $223.87 | Facility | None | $165.96 | $177.83 | $223.87 |
Medcost Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $213.80 | Professional | None | $154.88 | $154.88 | $213.80 |
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 $173.78 Median $173.78 Typical High $190.55 | Facility | None | $173.78 | $173.78 | $190.55 |
United Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $223.87 | Professional | None | $128.82 | $162.18 | $223.87 |
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 $77.62 Median $77.62 Typical High $117.49 | Professional | 51 · Multiple procedures | $77.62 | $77.62 | $117.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.90 Median $30.90 Typical High $47.86 | Professional | 80 · Assistant surgeon | $30.90 | $30.90 | $47.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.88 Median $21.88 Typical High $33.11 | Professional | 81 · Minimal assistant surgeon | $21.88 | $21.88 | $33.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.88 Median $21.88 Typical High $33.11 | Professional | 82 · Assistant surgeon, no resident | $21.88 | $21.88 | $33.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.88 Median $21.88 Typical High $33.11 | Professional | AS · PA/NP assist | $21.88 | $21.88 | $33.11 |
Where South Carolina sits
The same service costs 2.6 times more in North Dakota 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· 36th of 51
$162
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.