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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $245.47 | Professional | None (both parts) | $194.98 | $194.98 | $245.47 |
Medcost Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $169.82 | Professional | None | $120.23 | $120.23 | $169.82 |
Medcost Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $151.36 | $181.97 | $213.80 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $229.09 Median $275.42 Typical High $323.59 | Professional | 50 · Both sides | $229.09 | $275.42 | $323.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $75.86 Median $91.20 Typical High $107.15 | Professional | 51 · Multiple procedures | $75.86 | $91.20 | $107.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.90 Median $36.31 Typical High $42.66 | Professional | 80 · Assistant surgeon | $30.90 | $36.31 | $42.66 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.38 Median $25.70 Typical High $30.20 | Professional | 81 · Minimal assistant surgeon | $21.38 | $25.70 | $30.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.38 Median $25.70 Typical High $30.20 | Professional | 82 · Assistant surgeon, no resident | $21.38 | $25.70 | $30.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.38 Median $25.70 Typical High $30.20 | Professional | AS · PA/NP assist | $21.38 | $25.70 | $30.20 |
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 |
2 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 26 · Professional part Typical Low $70.79 Median $75.86 Typical High $85.11 | Professional | 26 · Professional part | $70.79 | $75.86 | $85.11 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $128.82 | Professional | TC · Technical part | $91.20 | $114.82 | $128.82 |
Where South Carolina sits
The same service costs 9.8 times more in Tennessee than in Massachusetts. 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· 32nd of 36
$151
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.