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 $17.38 Median $22.39 Typical High $26.92 | Facility | None | $17.38 | $22.39 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $22.39 Typical High $39.81 | Professional | None | $16.98 | $22.39 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $19.95 | Professional | None | $14.13 | $16.98 | $19.95 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $14.13 Median $16.98 Typical High $20.89 | Professional | 29 | $14.13 | $16.98 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Medcost Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $45.71 | Facility | None | $17.38 | $17.38 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $15.85 | Professional | None | $10.96 | $10.96 | $15.85 |
United Setting Professional Modifier None Typical Low $15.14 Median $18.62 Typical High $25.70 | Professional | None | $15.14 | $18.62 | $25.70 |
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 $5.50 Median $5.50 Typical High $7.94 | Professional | 51 · Multiple procedures | $5.50 | $5.50 | $7.94 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.19 Median $2.19 Typical High $3.16 | Professional | 80 · Assistant surgeon | $2.19 | $2.19 | $3.16 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.55 Median $1.55 Typical High $2.19 | Professional | 81 · Minimal assistant surgeon | $1.55 | $1.55 | $2.19 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.55 Median $1.55 Typical High $2.19 | Professional | 82 · Assistant surgeon, no resident | $1.55 | $1.55 | $2.19 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.55 Median $1.55 Typical High $2.19 | Professional | AS · PA/NP assist | $1.55 | $1.55 | $2.19 |
Where South Carolina sits
The same service costs 5.1 times more in Alaska than in Maine. 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· 21st of 51
$16.98
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.