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 $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $18.20 | Professional | None (both parts) | $17.78 | $17.78 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $35.48 Typical High $44.67 | Facility | None | $20.89 | $35.48 | $44.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None (both parts) | $18.20 | $18.20 | $18.20 |
Medcost Setting Facility Modifier None Typical Low $17.78 Median $19.50 Typical High $23.99 | Facility | None | $17.78 | $19.50 | $23.99 |
Medcost Setting Professional Modifier None (both parts) Typical Low $19.05 Median $19.05 Typical High $21.88 | Professional | None (both parts) | $19.05 | $19.05 | $21.88 |
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 $21.88 Median $21.88 Typical High $21.88 | Professional | None (both parts) | $21.88 | $21.88 | $21.88 |
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 $7.59 Median $7.59 Typical High $7.59 | Professional | 26 · Professional part | $7.59 | $7.59 | $7.59 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 50 · Both sides | $28.18 | $28.18 | $28.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 51 · Multiple procedures | $9.55 | $9.55 | $9.55 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | 80 · Assistant surgeon | $3.80 | $3.80 | $3.80 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | 81 · Minimal assistant surgeon | $2.63 | $2.63 | $2.63 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | 82 · Assistant surgeon, no resident | $2.63 | $2.63 | $2.63 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.63 Median $2.63 Typical High $2.63 | Professional | AS · PA/NP assist | $2.63 | $2.63 | $2.63 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | TC · Technical part | $11.48 | $11.48 | $11.48 |
Where South Carolina sits
The same service costs 4.9 times more in Montana than in Connecticut. 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· 10th of 51
$18.20
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.