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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $23.44 Typical High $23.99 | Professional | None | $22.91 | $23.44 | $23.99 |
BCBS South Carolina Setting Professional Modifier None Typical Low $16.22 Median $117.49 Typical High $147.91 | Professional | None | $16.22 | $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 $23.44 Median $28.18 Typical High $31.62 | Facility | None | $23.44 | $28.18 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $10.47 Median $14.79 Typical High $28.84 | Professional | None | $10.47 | $14.79 | $28.84 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
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 $6.46 Median $7.24 Typical High $8.32 | Professional | 51 · Multiple procedures | $6.46 | $7.24 | $8.32 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.63 Median $2.95 Typical High $3.31 | Professional | 80 · Assistant surgeon | $2.63 | $2.95 | $3.31 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.82 Median $2.04 Typical High $2.34 | Professional | 81 · Minimal assistant surgeon | $1.82 | $2.04 | $2.34 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.82 Median $2.04 Typical High $2.34 | Professional | 82 · Assistant surgeon, no resident | $1.82 | $2.04 | $2.34 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.82 Median $2.04 Typical High $2.34 | Professional | AS · PA/NP assist | $1.82 | $2.04 | $2.34 |
Where South Carolina sits
The same service costs 8.3 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· 19th 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.