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 $407.38 Median $9,120.11 Typical High $22,908.68 | Facility | None | $407.38 | $9,120.11 | $22,908.68 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $426.58 | Professional | None | $407.38 | $407.38 | $426.58 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $549.54 | Facility | None | $407.38 | $446.68 | $549.54 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $501.19 | Professional | None | $416.87 | $416.87 | $501.19 |
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 $380.19 Median $467.74 Typical High $851.14 | Professional | None | $380.19 | $467.74 | $851.14 |
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 $208.93 Median $208.93 Typical High $309.03 | Professional | 51 · Multiple procedures | $208.93 | $208.93 | $309.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $83.18 Median $83.18 Typical High $123.03 | Professional | 80 · Assistant surgeon | $83.18 | $83.18 | $123.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $57.54 Median $57.54 Typical High $87.10 | Professional | 81 · Minimal assistant surgeon | $57.54 | $57.54 | $87.10 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $57.54 Median $57.54 Typical High $87.10 | Professional | 82 · Assistant surgeon, no resident | $57.54 | $57.54 | $87.10 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $57.54 Median $57.54 Typical High $87.10 | Professional | AS · PA/NP assist | $57.54 | $57.54 | $87.10 |
Where South Carolina sits
The same service costs 8.7 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· 39th of 51
$427
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.