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 Professional Modifier None (both parts) Typical Low $2,754.23 Median $2,754.23 Typical High $3,467.37 | Professional | None (both parts) | $2,754.23 | $2,754.23 | $3,467.37 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,071.52 | Professional | None | $912.01 | $912.01 | $1,071.52 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,258.93 Typical High $2,344.23 | Professional | None (both parts) | $1,000.00 | $1,258.93 | $2,344.23 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,513.56 Median $1,905.46 Typical High $4,677.35 | Professional | 50 · Both sides | $1,513.56 | $1,905.46 | $4,677.35 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $501.19 Median $630.96 Typical High $1,584.89 | Professional | 51 · Multiple procedures | $501.19 | $630.96 | $1,584.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $199.53 Median $257.04 Typical High $630.96 | Professional | 80 · Assistant surgeon | $199.53 | $257.04 | $630.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $141.25 Median $177.83 Typical High $436.52 | Professional | 81 · Minimal assistant surgeon | $141.25 | $177.83 | $436.52 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $141.25 Median $177.83 Typical High $436.52 | Professional | 82 · Assistant surgeon, no resident | $141.25 | $177.83 | $436.52 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $141.25 Median $177.83 Typical High $436.52 | Professional | AS · PA/NP assist | $141.25 | $177.83 | $436.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,202.26 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,258.93 Typical High $2,398.83 | Facility | None | $1,174.90 | $1,258.93 | $2,398.83 |
2 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 $512.86 Median $537.03 Typical High $1,258.93 | Professional | 26 · Professional part | $512.86 | $537.03 | $1,258.93 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $794.33 Typical High $1,905.46 | Professional | TC · Technical part | $758.58 | $794.33 | $1,905.46 |
Where South Carolina sits
The same service costs 18.2 times more in Texas than in Florida. 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· 43rd of 51
$1,259
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.