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 $1.29 Median $15.14 Typical High $15.14 | Professional | None (both parts) | $1.29 | $15.14 | $15.14 |
Medcost Setting Professional Modifier None (both parts) Typical Low $28.18 Median $32.36 Typical High $1,258.93 | Professional | None (both parts) | $28.18 | $32.36 | $1,258.93 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.13 Median $15.85 Typical High $26.30 | Professional | 51 · Multiple procedures | $14.13 | $15.85 | $26.30 |
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 $11.22 Median $12.02 Typical High $21.38 | Professional | 26 · Professional part | $11.22 | $12.02 | $21.38 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $41.69 Median $47.86 Typical High $79.43 | Professional | 50 · Both sides | $41.69 | $47.86 | $79.43 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.62 Median $6.46 Typical High $10.47 | Professional | 80 · Assistant surgeon | $5.62 | $6.46 | $10.47 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.89 Median $4.47 Typical High $7.41 | Professional | 81 · Minimal assistant surgeon | $3.89 | $4.47 | $7.41 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.89 Median $4.47 Typical High $7.41 | Professional | 82 · Assistant surgeon, no resident | $3.89 | $4.47 | $7.41 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.89 Median $4.47 Typical High $7.41 | Professional | AS · PA/NP assist | $3.89 | $4.47 | $7.41 |
Medcost Setting Professional Modifier RR · Rental Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | RR · Rental | $316.23 | $316.23 | $316.23 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $18.20 Typical High $31.62 | Professional | TC · Technical part | $16.98 | $18.20 | $31.62 |
Where North Carolina sits
The same service costs 147.9 times more in Mississippi than in Washington, DC. 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· 7th of 51
$28.18
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.