How much rates vary
Facilitymedian $479 · 10th to 90th $78 to $617Professionalmedian $891 · 10th to 90th $437 to $1,023
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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $478.63 Typical High $478.63 | Professional | None | $446.68 | $478.63 | $478.63 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $281.84 Median $354.81 Typical High $363.08 | Professional | UE · Used equipment | $281.84 | $354.81 | $363.08 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $93.33 Median $102.33 Typical High $102.33 | Facility | RR · Rental | $93.33 | $102.33 | $102.33 |
BCBS South Carolina Setting Professional Modifier None Typical Low $724.44 Median $891.25 Typical High $1,023.29 | Professional | None | $724.44 | $891.25 | $1,023.29 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $75.86 Median $89.13 Typical High $102.33 | Professional | RR · Rental | $75.86 | $89.13 | $102.33 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | UE · Used equipment | $776.25 | $776.25 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $575.44 | Facility | None | $467.74 | $467.74 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $870.96 | Professional | None | $602.56 | $602.56 | $870.96 |
Cigna Setting Professional Modifier RR · Rental Typical Low $45.71 Median $53.70 Typical High $53.70 | Professional | RR · Rental | $45.71 | $53.70 | $53.70 |
Medcost Setting Professional Modifier RR · Rental Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | RR · Rental | $77.62 | $77.62 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $77.62 Median $478.63 Typical High $645.65 | Facility | None | $77.62 | $478.63 | $645.65 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $1,096.48 | Professional | None | $645.65 | $758.58 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $48.98 Median $371.54 Typical High $645.65 | Professional | None | $48.98 | $371.54 | $645.65 |
United Setting Professional Modifier None Typical Low $263.03 Median $436.52 Typical High $707.95 | Professional | None | $263.03 | $436.52 | $707.95 |
United Setting Professional Modifier RR · Rental Typical Low $28.84 Median $44.67 Typical High $85.11 | Professional | RR · Rental | $28.84 | $44.67 | $85.11 |
United Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $331.13 Typical High $537.03 | Professional | UE · Used equipment | $199.53 | $331.13 | $537.03 |
6 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 50 · Both sides Typical Low $1,122.02 Median $1,122.02 Typical High $1,659.59 | Professional | 50 · Both sides | $1,122.02 | $1,122.02 | $1,659.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $371.54 Median $371.54 Typical High $549.54 | Professional | 51 · Multiple procedures | $371.54 | $371.54 | $549.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $151.36 Median $151.36 Typical High $218.78 | Professional | 80 · Assistant surgeon | $151.36 | $151.36 | $218.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $104.71 Median $104.71 Typical High $154.88 | Professional | 81 · Minimal assistant surgeon | $104.71 | $104.71 | $154.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $104.71 Median $104.71 Typical High $154.88 | Professional | 82 · Assistant surgeon, no resident | $104.71 | $104.71 | $154.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $104.71 Median $104.71 Typical High $154.88 | Professional | AS · PA/NP assist | $104.71 | $104.71 | $154.88 |
Where South Carolina sits
The same service costs 16.6 times more in Kansas 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· 2nd of 51
$891
KS $955IL $57.54
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.