How much rates vary
Facilitymedian $7 · 10th to 90th $7 to $11Professionalmedian $8 · 10th to 90th $6 to $12
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $6.61 Median $6.61 Typical High $8.32 | Professional | None (both parts) | $6.61 | $6.61 | $8.32 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4.90 Median $4.90 Typical High $6.17 | Professional | UE · Used equipment | $4.90 | $4.90 | $6.17 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $7.94 Median $10.00 Typical High $12.02 | Professional | None (both parts) | $7.94 | $10.00 | $12.02 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $1.26 Median $1.26 Typical High $1.26 | Professional | RR · Rental | $1.26 | $1.26 | $1.26 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | UE · Used equipment | $9.12 | $9.12 | $9.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None (both parts) | $7.08 | $7.08 | $7.08 |
Cigna Setting Professional Modifier RR · Rental Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | RR · Rental | $0.60 | $0.60 | $0.60 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | UE · Used equipment | $5.37 | $5.37 | $5.37 |
Medcost Setting Facility Modifier None Typical Low $6.61 Median $8.51 Typical High $33.11 | Facility | None | $6.61 | $8.51 | $33.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $8.91 Median $10.00 Typical High $15.85 | Professional | None (both parts) | $8.91 | $10.00 | $15.85 |
Medcost Setting Professional Modifier RR · Rental Typical Low $0.91 Median $1.00 Typical High $1.78 | Professional | RR · Rental | $0.91 | $1.00 | $1.78 |
United Setting Professional Modifier None (both parts) Typical Low $4.90 Median $5.89 Typical High $7.59 | Professional | None (both parts) | $4.90 | $5.89 | $7.59 |
United Setting Professional Modifier RR · Rental Typical Low $0.51 Median $0.62 Typical High $0.78 | Professional | RR · Rental | $0.51 | $0.62 | $0.78 |
United Setting Professional Modifier UE · Used equipment Typical Low $3.72 Median $4.47 Typical High $5.75 | Professional | UE · Used equipment | $3.72 | $4.47 | $5.75 |
8 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 $3.55 Median $3.98 Typical High $7.94 | Professional | 26 · Professional part | $3.55 | $3.98 | $7.94 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $13.49 Median $15.14 Typical High $30.20 | Professional | 50 · Both sides | $13.49 | $15.14 | $30.20 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $4.47 Median $5.01 Typical High $10.23 | Professional | 51 · Multiple procedures | $4.47 | $5.01 | $10.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1.78 Median $2.00 Typical High $4.07 | Professional | 80 · Assistant surgeon | $1.78 | $2.00 | $4.07 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.26 Median $1.41 Typical High $2.82 | Professional | 81 · Minimal assistant surgeon | $1.26 | $1.41 | $2.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.26 Median $1.41 Typical High $2.82 | Professional | 82 · Assistant surgeon, no resident | $1.26 | $1.41 | $2.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.26 Median $1.41 Typical High $2.82 | Professional | AS · PA/NP assist | $1.26 | $1.41 | $2.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $5.37 Median $6.03 Typical High $12.02 | Professional | TC · Technical part | $5.37 | $6.03 | $12.02 |
Where South Carolina sits
The same service costs 11.2 times more in Minnesota than in Illinois. 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· 16th of 51
$7.94
MN $15.14IL $1.35
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.