How much rates vary
Facilitymedian $562 · 10th to 90th $501 to $676Professionalmedian $1,000 · 10th to 90th $501 to $1,047
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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $549.54 | Professional | None | $501.19 | $501.19 | $549.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $316.23 Median $380.19 Typical High $380.19 | Professional | UE · Used equipment | $316.23 | $380.19 | $380.19 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | RR · Rental | $74.13 | $74.13 | $74.13 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $102.33 Median $112.20 Typical High $112.20 | Facility | RR · Rental | $102.33 | $112.20 | $112.20 |
BCBS South Carolina Setting Professional Modifier None Typical Low $831.76 Median $1,047.13 Typical High $1,096.48 | Professional | None | $831.76 | $1,047.13 | $1,096.48 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $87.10 Median $104.71 Typical High $112.20 | Professional | RR · Rental | $87.10 | $104.71 | $112.20 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | UE · Used equipment | $660.69 | $660.69 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $691.83 | Facility | None | $562.34 | $562.34 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $691.83 | Professional | None | $478.63 | $562.34 | $691.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $47.86 Median $56.23 Typical High $67.61 | Professional | RR · Rental | $47.86 | $56.23 | $67.61 |
Medcost Setting Professional Modifier RR · Rental Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | RR · Rental | $95.50 | $95.50 | $95.50 |
Medcost Setting Facility Modifier None Typical Low $77.62 Median $524.81 Typical High $676.08 | Facility | None | $77.62 | $524.81 | $676.08 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $1,288.25 | Professional | None | $645.65 | $707.95 | $1,288.25 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $75.86 | Professional | None | $56.23 | $56.23 | $75.86 |
United Setting Professional Modifier None Typical Low $309.03 Median $512.86 Typical High $831.76 | Professional | None | $309.03 | $512.86 | $831.76 |
United Setting Professional Modifier RR · Rental Typical Low $30.20 Median $48.98 Typical High $97.72 | Professional | RR · Rental | $30.20 | $48.98 | $97.72 |
United Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $380.19 Typical High $616.60 | Professional | UE · Used equipment | $234.42 | $380.19 | $616.60 |
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 $1,905.46 | Professional | 50 · Both sides | $1,047.13 | $1,047.13 | $1,905.46 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $346.74 Median $346.74 Typical High $645.65 | Professional | 51 · Multiple procedures | $346.74 | $346.74 | $645.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $141.25 Median $141.25 Typical High $257.04 | Professional | 80 · Assistant surgeon | $141.25 | $141.25 | $257.04 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $97.72 Median $97.72 Typical High $177.83 | Professional | 81 · Minimal assistant surgeon | $97.72 | $97.72 | $177.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $97.72 Median $97.72 Typical High $177.83 | Professional | 82 · Assistant surgeon, no resident | $97.72 | $97.72 | $177.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $97.72 Median $97.72 Typical High $177.83 | Professional | AS · PA/NP assist | $97.72 | $97.72 | $177.83 |
Where South Carolina sits
The same service costs 12.9 times more in South Carolina 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· 1st of 51
$1,000
SC $1,000IL $77.62
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.