How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $128.82 Median $5,623.41 Typical High $21,877.62 | Facility | None | $128.82 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $239.88 | Professional | None | $128.82 | $128.82 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Medcost Setting Facility Modifier None Typical Low $128.82 Median $141.25 Typical High $173.78 | Facility | None | $128.82 | $141.25 | $173.78 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $218.78 | Professional | None | $128.82 | $128.82 | $218.78 |
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 $186.21 Median $245.47 Typical High $426.58 | Professional | None | $186.21 | $245.47 | $426.58 |
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 $64.57 Median $64.57 Typical High $194.98 | Professional | 51 · Multiple procedures | $64.57 | $64.57 | $194.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.70 Median $25.70 Typical High $77.62 | Professional | 80 · Assistant surgeon | $25.70 | $25.70 | $77.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $18.20 Median $18.20 Typical High $53.70 | Professional | 81 · Minimal assistant surgeon | $18.20 | $18.20 | $53.70 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $18.20 Median $18.20 Typical High $53.70 | Professional | 82 · Assistant surgeon, no resident | $18.20 | $18.20 | $53.70 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $18.20 Median $18.20 Typical High $53.70 | Professional | AS · PA/NP assist | $18.20 | $18.20 | $53.70 |
Where South Carolina sits
The same service costs 112.2 times more in Texas 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· 41st of 51
$186
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.