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 Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $52.48 | $52.48 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $512.86 | Professional | None (both parts) | $371.54 | $371.54 | $512.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $45.71 | $45.71 | $45.71 |
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 $18.20 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $18.20 | $18.20 | $18.20 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 50 · Both sides | $67.61 | $67.61 | $67.61 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 51 · Multiple procedures | $22.91 | $22.91 | $22.91 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 80 · Assistant surgeon | $9.12 | $9.12 | $9.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 81 · Minimal assistant surgeon | $6.31 | $6.31 | $6.31 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 82 · Assistant surgeon, no resident | $6.31 | $6.31 | $6.31 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | AS · PA/NP assist | $6.31 | $6.31 | $6.31 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | TC · Technical part | $27.54 | $27.54 | $27.54 |
Where North Carolina sits
The same service costs 6.8 times more in New Hampshire than in Wyoming. 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· 24th of 51
$372
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.