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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier None (both parts) Typical Low $1.29 Median $1.29 Typical High $15.14 | Professional | None (both parts) | $1.29 | $1.29 | $15.14 |
Medcost Setting Professional Modifier None (both parts) Typical Low $28.18 Median $89.13 Typical High $1,258.93 | Professional | None (both parts) | $28.18 | $89.13 | $1,258.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $100.00 | Professional | None (both parts) | $30.20 | $30.20 | $100.00 |
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 $28.18 Typical High $36.31 | Professional | 26 · Professional part | $11.22 | $28.18 | $36.31 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $41.69 Median $104.71 Typical High $134.90 | Professional | 50 · Both sides | $41.69 | $104.71 | $134.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.13 Median $34.67 Typical High $44.67 | Professional | 51 · Multiple procedures | $14.13 | $34.67 | $44.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.62 Median $14.13 Typical High $18.20 | Professional | 80 · Assistant surgeon | $5.62 | $14.13 | $18.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.89 Median $9.77 Typical High $12.59 | Professional | 81 · Minimal assistant surgeon | $3.89 | $9.77 | $12.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.89 Median $9.77 Typical High $12.59 | Professional | 82 · Assistant surgeon, no resident | $3.89 | $9.77 | $12.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.89 Median $9.77 Typical High $12.59 | Professional | AS · PA/NP assist | $3.89 | $9.77 | $12.59 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $41.69 Typical High $53.70 | Professional | TC · Technical part | $16.98 | $41.69 | $53.70 |
Where South 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.
South Carolina· 5th of 51
$30.20
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.