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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $67.61 | Professional | None | $61.66 | $61.66 | $67.61 |
BCBS South Carolina Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $173.78 | Facility | None | $81.28 | $81.28 | $173.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $208.93 | Professional | None | $64.57 | $81.28 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
Medcost Setting Facility Modifier None Typical Low $50.12 Median $67.61 Typical High $83.18 | Facility | None | $50.12 | $67.61 | $83.18 |
Medcost Setting Professional Modifier None Typical Low $60.26 Median $114.82 Typical High $138.04 | Professional | None | $60.26 | $114.82 | $138.04 |
United Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $295.12 | Professional | None | $134.90 | $190.55 | $295.12 |
7 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $30.90 Typical High $33.88 | Professional | 52 · Reduced service | $30.90 | $30.90 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $13.49 | Professional | 53 · Discontinued | $12.30 | $12.30 | $13.49 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $30.20 Median $57.54 Typical High $79.43 | Professional | 51 · Multiple procedures | $30.20 | $57.54 | $79.43 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.02 Median $23.44 Typical High $31.62 | Professional | 80 · Assistant surgeon | $12.02 | $23.44 | $31.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.51 Median $16.22 Typical High $21.88 | Professional | 81 · Minimal assistant surgeon | $8.51 | $16.22 | $21.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.51 Median $16.22 Typical High $21.88 | Professional | 82 · Assistant surgeon, no resident | $8.51 | $16.22 | $21.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.51 Median $16.22 Typical High $21.88 | Professional | AS · PA/NP assist | $8.51 | $16.22 | $21.88 |
Where South Carolina sits
The same service costs 4.9 times more in Nebraska than in Florida. 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· 39th of 51
$81.28
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.