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 |
|---|---|---|---|---|---|
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 $19.95 Typical High $1,288.25 | Professional | None (both parts) | $16.98 | $19.95 | $1,288.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $70.79 | Professional | None (both parts) | $30.20 | $30.20 | $70.79 |
7 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 $1.82 Median $7.94 Typical High $10.96 | Professional | 26 · Professional part | $1.82 | $7.94 | $10.96 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $6.76 Median $30.20 Typical High $40.74 | Professional | 50 · Both sides | $6.76 | $30.20 | $40.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2.24 Median $10.00 Typical High $13.80 | Professional | 51 · Multiple procedures | $2.24 | $10.00 | $13.80 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $0.89 Median $3.98 Typical High $5.50 | Professional | 80 · Assistant surgeon | $0.89 | $3.98 | $5.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.63 Median $2.82 Typical High $3.89 | Professional | 81 · Minimal assistant surgeon | $0.63 | $2.82 | $3.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.63 Median $2.82 Typical High $3.89 | Professional | 82 · Assistant surgeon, no resident | $0.63 | $2.82 | $3.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.63 Median $2.82 Typical High $3.89 | Professional | AS · PA/NP assist | $0.63 | $2.82 | $3.89 |
Where South 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.
South Carolina· 12th of 51
$5.62
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.