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 $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $13.18 Typical High $13.18 | Professional | None | $12.59 | $13.18 | $13.18 |
BCBS South Carolina Setting Professional Modifier None Typical Low $15.14 Median $117.49 Typical High $147.91 | Professional | None | $15.14 | $117.49 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $177.83 Typical High $309.03 | Facility | None | $144.54 | $177.83 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Medcost Setting Facility Modifier None Typical Low $11.48 Median $14.45 Typical High $36.31 | Facility | None | $11.48 | $14.45 | $36.31 |
Medcost Setting Professional Modifier None Typical Low $4.37 Median $8.13 Typical High $18.20 | Professional | None | $4.37 | $8.13 | $18.20 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $87.10 | Professional | None | $83.18 | $83.18 | $87.10 |
United Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $125.89 | Professional | None | $107.15 | $125.89 | $125.89 |
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 $2.19 Median $4.07 Typical High $12.02 | Professional | 51 · Multiple procedures | $2.19 | $4.07 | $12.02 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $0.87 Median $1.62 Typical High $4.79 | Professional | 80 · Assistant surgeon | $0.87 | $1.62 | $4.79 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.62 Median $1.15 Typical High $3.39 | Professional | 81 · Minimal assistant surgeon | $0.62 | $1.15 | $3.39 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.62 Median $1.15 Typical High $3.39 | Professional | 82 · Assistant surgeon, no resident | $0.62 | $1.15 | $3.39 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.62 Median $1.15 Typical High $3.39 | Professional | AS · PA/NP assist | $0.62 | $1.15 | $3.39 |
Where South Carolina sits
The same service costs 10.0 times more in Oregon than in Virginia. 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· 20th of 51
$117
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.