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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $288.40 | Professional | None (both parts) | $275.42 | $275.42 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $194.98 Typical High $204.17 | Professional | 26 · Professional part | $194.98 | $194.98 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $87.10 | Professional | TC · Technical part | $83.18 | $83.18 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $549.54 Typical High $4,786.30 | Facility | None | $346.74 | $549.54 | $4,786.30 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $309.03 Typical High $371.54 | Facility | None | $275.42 | $309.03 | $371.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $1,412.54 | Professional | None (both parts) | $275.42 | $275.42 | $1,412.54 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $194.98 Typical High $977.24 | Professional | 26 · Professional part | $194.98 | $194.98 | $977.24 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $416.87 | Professional | TC · Technical part | $81.28 | $81.28 | $416.87 |
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 $3,890.45 Median $4,786.30 Typical High $6,165.95 | Facility | None | $3,890.45 | $4,786.30 | $6,165.95 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $616.60 | Professional | None (both parts) | $281.84 | $354.81 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $251.19 Typical High $436.52 | Professional | 26 · Professional part | $194.98 | $251.19 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $107.15 Typical High $186.21 | Professional | TC · Technical part | $85.11 | $107.15 | $186.21 |
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 $138.04 Median $138.04 Typical High $512.86 | Professional | 51 · Multiple procedures | $138.04 | $138.04 | $512.86 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $54.95 Median $54.95 Typical High $173.78 | Professional | 80 · Assistant surgeon | $54.95 | $54.95 | $173.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $38.90 Median $38.90 Typical High $123.03 | Professional | 81 · Minimal assistant surgeon | $38.90 | $38.90 | $123.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $38.90 Median $38.90 Typical High $123.03 | Professional | 82 · Assistant surgeon, no resident | $38.90 | $38.90 | $123.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $38.90 Median $38.90 Typical High $123.03 | Professional | AS · PA/NP assist | $38.90 | $38.90 | $123.03 |
Where South Carolina sits
The same service costs 7.9 times more in Wisconsin than in North Carolina. 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· 44th of 51
$282
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.