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 $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Medcost Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
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 $28.18 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.18 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 50 · Both sides | $104.71 | $104.71 | $104.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 51 · Multiple procedures | $34.67 | $34.67 | $34.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 80 · Assistant surgeon | $14.13 | $14.13 | $14.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 81 · Minimal assistant surgeon | $9.77 | $9.77 | $9.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 82 · Assistant surgeon, no resident | $9.77 | $9.77 | $9.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | AS · PA/NP assist | $9.77 | $9.77 | $9.77 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $41.69 | $41.69 | $41.69 |
Where North Carolina sits
The same service costs 15.1 times more in Missouri than in Mississippi. 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· 18th of 51
$151
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.