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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $54.95 Typical High $54.95 | Professional | None | $52.48 | $54.95 | $54.95 |
BCBS South Carolina Setting Professional Modifier None Typical Low $117.49 Median $147.91 Typical High $147.91 | Professional | None | $117.49 | $147.91 | $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 $27.54 Median $60.26 Typical High $141.25 | Facility | None | $27.54 | $60.26 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $61.66 | Professional | None | $21.88 | $21.88 | $61.66 |
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 $10.96 Median $10.96 Typical High $41.69 | Professional | 51 · Multiple procedures | $10.96 | $10.96 | $41.69 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.47 Median $4.47 Typical High $16.60 | Professional | 80 · Assistant surgeon | $4.47 | $4.47 | $16.60 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.09 Median $3.09 Typical High $11.75 | Professional | 81 · Minimal assistant surgeon | $3.09 | $3.09 | $11.75 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.09 Median $3.09 Typical High $11.75 | Professional | 82 · Assistant surgeon, no resident | $3.09 | $3.09 | $11.75 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.09 Median $3.09 Typical High $11.75 | Professional | AS · PA/NP assist | $3.09 | $3.09 | $11.75 |
Where South Carolina sits
The same service costs 2.8 times more in Utah than in North Carolina. 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· 18th of 51
$126
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.