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 $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $19.05 | Professional | None | $16.98 | $16.98 | $19.05 |
BCBS South Carolina Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
BCBS South Carolina Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $24.55 | Professional | None | $22.91 | $22.91 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
Medcost Setting Facility Modifier None Typical Low $16.98 Median $21.88 Typical High $64.57 | Facility | None | $16.98 | $21.88 | $64.57 |
Medcost Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $46.77 | Professional | None | $22.91 | $22.91 | $46.77 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $26.30 | Facility | None | $23.99 | $23.99 | $26.30 |
United Setting Professional Modifier None Typical Low $14.79 Median $25.70 Typical High $52.48 | Professional | None | $14.79 | $25.70 | $52.48 |
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 $11.48 Median $11.48 Typical High $25.70 | Professional | 51 · Multiple procedures | $11.48 | $11.48 | $25.70 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.57 Median $4.57 Typical High $10.47 | Professional | 80 · Assistant surgeon | $4.57 | $4.57 | $10.47 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.24 Median $3.24 Typical High $7.24 | Professional | 81 · Minimal assistant surgeon | $3.24 | $3.24 | $7.24 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.24 Median $3.24 Typical High $7.24 | Professional | 82 · Assistant surgeon, no resident | $3.24 | $3.24 | $7.24 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.24 Median $3.24 Typical High $7.24 | Professional | AS · PA/NP assist | $3.24 | $3.24 | $7.24 |
Where South Carolina sits
The same service costs 5.2 times more in Texas than in New Jersey. 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· 41st of 51
$22.91
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.