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 |
|---|---|---|---|---|---|
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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $229.09 | $269.15 | $269.15 |
Medcost Setting Professional Modifier None (both parts) Typical Low $107.15 Median $2,884.03 Typical High $2,884.03 | Professional | None (both parts) | $107.15 | $2,884.03 | $2,884.03 |
Oscar Health Setting Facility Modifier None Typical Low $22,908.68 Median $22,908.68 Typical High $22,908.68 | Facility | None | $22,908.68 | $22,908.68 | $22,908.68 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | RR · Rental | $26.92 | $26.92 | $26.92 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 26 · Professional part | $1,148.15 | $1,148.15 | $1,148.15 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $162.18 Median $4,265.80 Typical High $4,265.80 | Professional | 50 · Both sides | $162.18 | $4,265.80 | $4,265.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $53.70 Median $1,445.44 Typical High $1,445.44 | Professional | 51 · Multiple procedures | $53.70 | $1,445.44 | $1,445.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.38 Median $575.44 Typical High $575.44 | Professional | 80 · Assistant surgeon | $21.38 | $575.44 | $575.44 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.14 Median $398.11 Typical High $398.11 | Professional | 81 · Minimal assistant surgeon | $15.14 | $398.11 | $398.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.14 Median $398.11 Typical High $398.11 | Professional | 82 · Assistant surgeon, no resident | $15.14 | $398.11 | $398.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.14 Median $398.11 Typical High $398.11 | Professional | AS · PA/NP assist | $15.14 | $398.11 | $398.11 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | TC · Technical part | $1,698.24 | $1,698.24 | $1,698.24 |
Where North Carolina sits
The same service costs 120.2 times more in Iowa than in Wyoming. 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· 9th of 51
$269
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.