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 $57.54 Median $57.54 Typical High $72.44 | Professional | None (both parts) | $57.54 | $57.54 | $72.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $26.30 Median $35.48 Typical High $43.65 | Professional | None (both parts) | $26.30 | $35.48 | $43.65 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $38.90 Median $58.88 Typical High $83.18 | Professional | 50 · Both sides | $38.90 | $58.88 | $83.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $13.18 Median $19.50 Typical High $27.54 | Professional | 51 · Multiple procedures | $13.18 | $19.50 | $27.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.25 Median $7.94 Typical High $11.22 | Professional | 80 · Assistant surgeon | $5.25 | $7.94 | $11.22 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.63 Median $5.50 Typical High $7.76 | Professional | 81 · Minimal assistant surgeon | $3.63 | $5.50 | $7.76 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.63 Median $5.50 Typical High $7.76 | Professional | 82 · Assistant surgeon, no resident | $3.63 | $5.50 | $7.76 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.63 Median $5.50 Typical High $7.76 | Professional | AS · PA/NP assist | $3.63 | $5.50 | $7.76 |
United Setting Facility Modifier None Typical Low $30.20 Median $36.31 Typical High $38.90 | Facility | None | $30.20 | $36.31 | $38.90 |
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 $10.47 Median $15.85 Typical High $19.05 | Professional | 26 · Professional part | $10.47 | $15.85 | $19.05 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $23.44 Typical High $28.18 | Professional | TC · Technical part | $15.85 | $23.44 | $28.18 |
Where South Carolina sits
The same service costs 9.5 times more in Illinois than in Montana. 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· 36th of 48
$36.31
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.