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 $263.03 Median $9,120.11 Typical High $22,908.68 | Facility | None | $263.03 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $380.19 | Professional | None | $263.03 | $263.03 | $380.19 |
Medcost Setting Facility Modifier None Typical Low $263.03 Median $288.40 Typical High $354.81 | Facility | None | $263.03 | $288.40 | $354.81 |
Medcost Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $316.23 | Professional | None | $263.03 | $263.03 | $316.23 |
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 Facility Modifier None Typical Low $416.87 Median $1,258.93 Typical High $8,709.64 | Facility | None | $416.87 | $1,258.93 | $8,709.64 |
United Setting Professional Modifier None Typical Low $407.38 Median $512.86 Typical High $977.24 | Professional | None | $407.38 | $512.86 | $977.24 |
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 $131.83 Median $131.83 Typical High $199.53 | Professional | 51 · Multiple procedures | $131.83 | $131.83 | $199.53 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $52.48 Median $52.48 Typical High $79.43 | Professional | 80 · Assistant surgeon | $52.48 | $52.48 | $79.43 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $37.15 Median $37.15 Typical High $56.23 | Professional | 81 · Minimal assistant surgeon | $37.15 | $37.15 | $56.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $37.15 Median $37.15 Typical High $56.23 | Professional | 82 · Assistant surgeon, no resident | $37.15 | $37.15 | $56.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $37.15 Median $37.15 Typical High $56.23 | Professional | AS · PA/NP assist | $37.15 | $37.15 | $56.23 |
Where South Carolina sits
The same service costs 8.3 times more in Alaska 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
$380
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.