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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $109.65 | Professional | None (both parts) | $81.28 | $81.28 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $141.25 Typical High $239.88 | Facility | None | $125.89 | $141.25 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Medcost Setting Facility Modifier None Typical Low $81.28 Median $87.10 Typical High $131.83 | Facility | None | $81.28 | $87.10 | $131.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $154.88 | Professional | None (both parts) | $42.66 | $42.66 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $63.10 | Professional | None (both parts) | $48.98 | $48.98 | $63.10 |
8 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 $17.38 Median $17.38 Typical High $17.78 | Professional | 26 · Professional part | $17.38 | $17.38 | $17.78 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 50 · Both sides | $64.57 | $64.57 | $64.57 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 51 · Multiple procedures | $21.38 | $21.38 | $21.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 80 · Assistant surgeon | $8.71 | $8.71 | $8.71 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 81 · Minimal assistant surgeon | $6.03 | $6.03 | $6.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 82 · Assistant surgeon, no resident | $6.03 | $6.03 | $6.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | AS · PA/NP assist | $6.03 | $6.03 | $6.03 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $26.92 | Professional | TC · Technical part | $25.70 | $25.70 | $26.92 |
Where North Carolina sits
The same service costs 6.3 times more in Alaska than in Georgia. 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.
North Carolina· 23rd of 51
$112
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.