How much rates vary
Facilitymedian $832 · 10th to 90th $275 to $1,905Professionalmedian $224 · 10th to 90th $145 to $331
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 $275.42 Median $1,258.93 Typical High $2,630.27 | Facility | None | $275.42 | $1,258.93 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $194.98 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $64.57 | $83.18 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $190.55 Typical High $208.93 | Professional | TC · Technical part | $169.82 | $190.55 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $831.76 Typical High $891.25 | Facility | None | $524.81 | $831.76 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $346.74 Typical High $524.81 | Professional | None (both parts) | $239.88 | $346.74 | $524.81 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $275.42 Typical High $371.54 | Facility | None | $144.54 | $275.42 | $371.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $501.19 | Professional | None (both parts) | $186.21 | $186.21 | $501.19 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $162.18 | Professional | 26 · Professional part | $63.10 | $63.10 | $162.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $436.52 | Professional | TC · Technical part | $162.18 | $162.18 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $741.31 Median $891.25 Typical High $1,174.90 | Facility | None | $741.31 | $891.25 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $199.53 Typical High $346.74 | Professional | None (both parts) | $158.49 | $199.53 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $93.33 Typical High $141.25 | Professional | 26 · Professional part | $61.66 | $93.33 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $190.55 Typical High $338.84 | Professional | TC · Technical part | $141.25 | $190.55 | $338.84 |
6 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 50 · Both sides Typical Low $281.84 Median $281.84 Typical High $891.25 | Professional | 50 · Both sides | $281.84 | $281.84 | $891.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $93.33 Median $93.33 Typical High $295.12 | Professional | 51 · Multiple procedures | $93.33 | $93.33 | $295.12 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $37.15 Median $37.15 Typical High $117.49 | Professional | 80 · Assistant surgeon | $37.15 | $37.15 | $117.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.30 Median $26.30 Typical High $83.18 | Professional | 81 · Minimal assistant surgeon | $26.30 | $26.30 | $83.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.30 Median $26.30 Typical High $83.18 | Professional | 82 · Assistant surgeon, no resident | $26.30 | $26.30 | $83.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.30 Median $26.30 Typical High $83.18 | Professional | AS · PA/NP assist | $26.30 | $26.30 | $83.18 |
Where South Carolina sits
The same service costs 4.9 times more in Alaska than in Michigan. 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· 25th of 51
$245
AK $813MI $166
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.