How much rates vary
Facilitymedian $398 · 10th to 90th $257 to $537Professionalmedian $617 · 10th to 90th $263 to $692
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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $537.03 | Professional | None | $416.87 | $416.87 | $537.03 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $309.03 Median $309.03 Typical High $407.38 | Professional | UE · Used equipment | $309.03 | $309.03 | $407.38 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $75.86 Median $83.18 Typical High $83.18 | Facility | RR · Rental | $75.86 | $83.18 | $83.18 |
BCBS South Carolina Setting Professional Modifier None Typical Low $512.86 Median $645.65 Typical High $676.08 | Professional | None | $512.86 | $645.65 | $676.08 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $52.48 Median $64.57 Typical High $83.18 | Professional | RR · Rental | $52.48 | $64.57 | $83.18 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | UE · Used equipment | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $275.42 | Facility | None | $257.04 | $257.04 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $257.04 Typical High $257.04 | Professional | None | $218.78 | $257.04 | $257.04 |
Medcost Setting Professional Modifier RR · Rental Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | RR · Rental | $58.88 | $58.88 | $58.88 |
Medcost Setting Facility Modifier None Typical Low $74.13 Median $416.87 Typical High $562.34 | Facility | None | $74.13 | $416.87 | $562.34 |
Medcost Setting Professional Modifier None Typical Low $446.68 Median $691.83 Typical High $776.25 | Professional | None | $446.68 | $691.83 | $776.25 |
United Setting Professional Modifier None Typical Low $190.55 Median $309.03 Typical High $501.19 | Professional | None | $190.55 | $309.03 | $501.19 |
United Setting Professional Modifier RR · Rental Typical Low $25.12 Median $38.02 Typical High $60.26 | Professional | RR · Rental | $25.12 | $38.02 | $60.26 |
United Setting Professional Modifier UE · Used equipment Typical Low $141.25 Median $234.42 Typical High $380.19 | Professional | UE · Used equipment | $141.25 | $234.42 | $380.19 |
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 $1,047.13 Median $1,047.13 Typical High $1,174.90 | Professional | 50 · Both sides | $1,047.13 | $1,047.13 | $1,174.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $346.74 Median $346.74 Typical High $389.05 | Professional | 51 · Multiple procedures | $346.74 | $346.74 | $389.05 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $138.04 Median $138.04 Typical High $154.88 | Professional | 80 · Assistant surgeon | $138.04 | $138.04 | $154.88 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | 81 · Minimal assistant surgeon | $97.72 | $97.72 | $109.65 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | 82 · Assistant surgeon, no resident | $97.72 | $97.72 | $109.65 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | AS · PA/NP assist | $97.72 | $97.72 | $109.65 |
Where South Carolina sits
The same service costs 14.8 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· 8th of 51
$617
MN $832IL $56.23
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.