How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1.17 Median $5.62 Typical High $5.62 | Professional | None (both parts) | $1.17 | $5.62 | $5.62 |
Medcost Setting Professional Modifier None (both parts) Typical Low $16.98 Median $39.81 Typical High $1,288.25 | Professional | None (both parts) | $16.98 | $39.81 | $1,288.25 |
9 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 $2.00 Median $10.96 Typical High $15.85 | Professional | 26 · Professional part | $2.00 | $10.96 | $15.85 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $25.70 Median $40.74 Typical High $60.26 | Professional | 50 · Both sides | $25.70 | $40.74 | $60.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $8.51 Median $13.80 Typical High $20.89 | Professional | 51 · Multiple procedures | $8.51 | $13.80 | $20.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.39 Median $5.50 Typical High $7.94 | Professional | 80 · Assistant surgeon | $3.39 | $5.50 | $7.94 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.40 Median $3.89 Typical High $5.62 | Professional | 81 · Minimal assistant surgeon | $2.40 | $3.89 | $5.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.40 Median $3.89 Typical High $5.62 | Professional | 82 · Assistant surgeon, no resident | $2.40 | $3.89 | $5.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.40 Median $3.89 Typical High $5.62 | Professional | AS · PA/NP assist | $2.40 | $3.89 | $5.62 |
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 $3.02 Median $16.60 Typical High $23.99 | Professional | TC · Technical part | $3.02 | $16.60 | $23.99 |
Where North Carolina sits
The same service costs 426.6 times more in Georgia than in Rhode Island. 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· 8th of 51
$27.54
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.