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 $204.17 Median $5,623.41 Typical High $21,877.62 | Facility | None | $204.17 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $213.80 | Professional | None | $204.17 | $204.17 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $2,344.23 Typical High $3,630.78 | Facility | None | $125.89 | $2,344.23 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Medcost Setting Facility Modifier None Typical Low $204.17 Median $229.09 Typical High $2,951.21 | Facility | None | $204.17 | $229.09 | $2,951.21 |
Medcost Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $275.42 | Professional | None | $194.98 | $194.98 | $275.42 |
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 $1,023.29 Median $3,311.31 Typical High $18,197.01 | Facility | None | $1,023.29 | $3,311.31 | $18,197.01 |
United Setting Professional Modifier None Typical Low $186.21 Median $245.47 Typical High $407.38 | Professional | None | $186.21 | $245.47 | $407.38 |
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 $97.72 Median $97.72 Typical High $204.17 | Professional | 51 · Multiple procedures | $97.72 | $97.72 | $204.17 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.90 Median $38.90 Typical High $81.28 | Professional | 80 · Assistant surgeon | $38.90 | $38.90 | $81.28 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.92 Median $26.92 Typical High $56.23 | Professional | 81 · Minimal assistant surgeon | $26.92 | $26.92 | $56.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.92 Median $26.92 Typical High $56.23 | Professional | 82 · Assistant surgeon, no resident | $26.92 | $26.92 | $56.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.92 Median $26.92 Typical High $56.23 | Professional | AS · PA/NP assist | $26.92 | $26.92 | $56.23 |
Where South Carolina sits
The same service costs 34.7 times more in Texas than in Nebraska. 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· 46th of 51
$234
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.