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 |
|---|---|---|---|---|---|
BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $138.04 Typical High $389.05 | Professional | None (both parts) | $70.79 | $138.04 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $204.17 | Professional | None (both parts) | $162.18 | $162.18 | $204.17 |
Medcost Setting Professional Modifier None (both parts) Typical Low $95.50 Median $97.72 Typical High $138.04 | Professional | None (both parts) | $95.50 | $97.72 | $138.04 |
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 $47.86 Median $47.86 Typical High $54.95 | Professional | 26 · Professional part | $47.86 | $47.86 | $54.95 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $144.54 Median $147.91 Typical High $204.17 | Professional | 50 · Both sides | $144.54 | $147.91 | $204.17 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $47.86 Median $48.98 Typical High $67.61 | Professional | 51 · Multiple procedures | $47.86 | $48.98 | $67.61 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.05 Median $19.50 Typical High $27.54 | Professional | 80 · Assistant surgeon | $19.05 | $19.50 | $27.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.49 Median $13.80 Typical High $19.05 | Professional | 81 · Minimal assistant surgeon | $13.49 | $13.80 | $19.05 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.49 Median $13.80 Typical High $19.05 | Professional | 82 · Assistant surgeon, no resident | $13.49 | $13.80 | $19.05 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.49 Median $13.80 Typical High $19.05 | Professional | AS · PA/NP assist | $13.49 | $13.80 | $19.05 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $81.28 | Professional | TC · Technical part | $72.44 | $72.44 | $81.28 |
Where North Carolina sits
The same service costs 11.2 times more in Tennessee than in Arizona. 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· 37th of 42
$132
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.