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 $58.88 Median $58.88 Typical High $63.10 | Facility | None | $58.88 | $58.88 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $60.26 Typical High $63.10 | Professional | None | $58.88 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $30.20 Typical High $31.62 | Professional | 52 · Reduced service | $29.51 | $30.20 | $31.62 |
BCBS South Carolina Setting Professional Modifier None Typical Low $69.18 Median $72.44 Typical High $75.86 | Professional | None | $69.18 | $72.44 | $75.86 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $50.12 Median $63.10 Typical High $63.10 | Professional | 29 | $50.12 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Medcost Setting Facility Modifier None Typical Low $58.88 Median $64.57 Typical High $79.43 | Facility | None | $58.88 | $64.57 | $79.43 |
Medcost Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $74.13 | Professional | None | $61.66 | $61.66 | $74.13 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $120.23 | Professional | None | $60.26 | $77.62 | $120.23 |
United Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $81.28 | Professional | None | $50.12 | $60.26 | $81.28 |
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 $30.90 Median $30.90 Typical High $45.71 | Professional | 51 · Multiple procedures | $30.90 | $30.90 | $45.71 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.30 Median $12.30 Typical High $18.20 | Professional | 80 · Assistant surgeon | $12.30 | $12.30 | $18.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.71 Median $8.71 Typical High $12.88 | Professional | 81 · Minimal assistant surgeon | $8.71 | $8.71 | $12.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.71 Median $8.71 Typical High $12.88 | Professional | 82 · Assistant surgeon, no resident | $8.71 | $8.71 | $12.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.71 Median $8.71 Typical High $12.88 | Professional | AS · PA/NP assist | $8.71 | $8.71 | $12.88 |
Where South Carolina sits
The same service costs 2.8 times more in Alaska than in Alabama. 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· 33rd of 51
$61.66
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.