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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $69.18 Typical High $69.18 | Professional | None | $66.07 | $69.18 | $69.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
BCBS South Carolina Setting Professional Modifier None Typical Low $43.65 Median $117.49 Typical High $147.91 | Professional | None | $43.65 | $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 $46.77 Median $75.86 Typical High $190.55 | Facility | None | $46.77 | $75.86 | $190.55 |
Medcost Setting Professional Modifier None Typical Low $33.88 Median $35.48 Typical High $95.50 | Professional | None | $33.88 | $35.48 | $95.50 |
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 $16.98 Median $17.78 Typical High $39.81 | Professional | 51 · Multiple procedures | $16.98 | $17.78 | $39.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.76 Median $7.08 Typical High $15.85 | Professional | 80 · Assistant surgeon | $6.76 | $7.08 | $15.85 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.79 Median $5.01 Typical High $11.22 | Professional | 81 · Minimal assistant surgeon | $4.79 | $5.01 | $11.22 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.79 Median $5.01 Typical High $11.22 | Professional | 82 · Assistant surgeon, no resident | $4.79 | $5.01 | $11.22 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.79 Median $5.01 Typical High $11.22 | Professional | AS · PA/NP assist | $4.79 | $5.01 | $11.22 |
Where South Carolina sits
The same service costs 2.1 times more in North Dakota than in Kentucky. 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.