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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $177.83 | Professional | None (both parts) | $169.82 | $169.82 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $338.84 Typical High $436.52 | Facility | None | $199.53 | $338.84 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Medcost Setting Facility Modifier None Typical Low $169.82 Median $186.21 Typical High $229.09 | Facility | None | $169.82 | $186.21 | $229.09 |
Medcost Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | None (both parts) | $199.53 | $199.53 | $208.93 |
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 Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
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 $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 50 · Both sides | $295.12 | $295.12 | $295.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 51 · Multiple procedures | $100.00 | $100.00 | $100.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 80 · Assistant surgeon | $39.81 | $39.81 | $39.81 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 81 · Minimal assistant surgeon | $27.54 | $27.54 | $27.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 82 · Assistant surgeon, no resident | $27.54 | $27.54 | $27.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | AS · PA/NP assist | $27.54 | $27.54 | $27.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $120.23 | $120.23 | $120.23 |
Where South Carolina sits
The same service costs 3.5 times more in Alaska than in Montana. 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· 24th of 51
$178
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.