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 $5,495.41 Median $5,495.41 Typical High $6,760.83 | Professional | None (both parts) | $5,495.41 | $5,495.41 | $6,760.83 |
Medcost Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,388.44 | Professional | None | $2,511.89 | $2,511.89 | $3,388.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $3,090.30 Typical High $3,630.78 | Professional | None (both parts) | $2,398.83 | $3,090.30 | $3,630.78 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,630.78 Median $4,570.88 Typical High $5,495.41 | Professional | 50 · Both sides | $3,630.78 | $4,570.88 | $5,495.41 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,202.26 Median $1,548.82 Typical High $1,819.70 | Professional | 51 · Multiple procedures | $1,202.26 | $1,548.82 | $1,819.70 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $478.63 Median $616.60 Typical High $724.44 | Professional | 80 · Assistant surgeon | $478.63 | $616.60 | $724.44 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $338.84 Median $426.58 Typical High $512.86 | Professional | 81 · Minimal assistant surgeon | $338.84 | $426.58 | $512.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $338.84 Median $426.58 Typical High $512.86 | Professional | 82 · Assistant surgeon, no resident | $338.84 | $426.58 | $512.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $338.84 Median $426.58 Typical High $512.86 | Professional | AS · PA/NP assist | $338.84 | $426.58 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
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 $1,202.26 Median $1,230.27 Typical High $1,445.44 | Professional | 26 · Professional part | $1,202.26 | $1,230.27 | $1,445.44 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,445.44 Median $1,862.09 Typical High $2,187.76 | Professional | TC · Technical part | $1,445.44 | $1,862.09 | $2,187.76 |
Where South Carolina sits
The same service costs 251.2 times more in California than in Massachusetts. 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· 35th of 37
$2,399
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.