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 Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $138.04 Typical High $138.04 | Professional | None | $131.83 | $138.04 | $138.04 |
BCBS Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
BCBS Setting Professional Modifier None Typical Low $117.49 Median $147.91 Typical High $371.54 | Professional | None | $117.49 | $147.91 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $177.83 Typical High $309.03 | Facility | None | $144.54 | $177.83 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $165.96 Typical High $446.68 | Facility | None | $138.04 | $165.96 | $446.68 |
Medcost Setting Professional Modifier None Typical Low $190.55 Median $331.13 Typical High $446.68 | Professional | None | $190.55 | $331.13 | $446.68 |
United Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $125.89 | Professional | None | $107.15 | $125.89 | $125.89 |
5 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 51 · Multiple procedures Typical Low $107.15 Median $165.96 Typical High $165.96 | Professional | 51 · Multiple procedures | $107.15 | $165.96 | $165.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $43.65 Median $66.07 Typical High $66.07 | Professional | 80 · Assistant surgeon | $43.65 | $66.07 | $66.07 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.20 Median $46.77 Typical High $46.77 | Professional | 81 · Minimal assistant surgeon | $30.20 | $46.77 | $46.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.20 Median $46.77 Typical High $46.77 | Professional | 82 · Assistant surgeon, no resident | $30.20 | $46.77 | $46.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.20 Median $46.77 Typical High $46.77 | Professional | AS · PA/NP assist | $30.20 | $46.77 | $46.77 |
Where South Carolina sits
The same service costs 3.2 times more in Wyoming than in North Carolina. 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· 17th of 51
$138
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.