How much rates vary
Facilitymedian $1,122 · 10th to 90th $776 to $1,349Professionalmedian $1,288 · 10th to 90th $794 to $1,514
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $1,023.29 Typical High $1,023.29 | Professional | None | $758.58 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $478.63 Median $758.58 Typical High $758.58 | Professional | UE · Used equipment | $478.63 | $758.58 | $758.58 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $177.83 Median $194.98 Typical High $194.98 | Facility | RR · Rental | $177.83 | $194.98 | $194.98 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,230.27 Median $1,513.56 Typical High $1,621.81 | Professional | None | $1,230.27 | $1,513.56 | $1,621.81 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $125.89 Median $154.88 Typical High $194.98 | Professional | RR · Rental | $125.89 | $154.88 | $194.98 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | UE · Used equipment | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,445.44 | Facility | None | $1,122.02 | $1,122.02 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $1,122.02 Typical High $1,445.44 | Professional | None | $338.84 | $1,122.02 | $1,445.44 |
Cigna Setting Professional Modifier RR · Rental Typical Low $95.50 Median $112.20 Typical High $144.54 | Professional | RR · Rental | $95.50 | $112.20 | $144.54 |
Medcost Setting Professional Modifier RR · Rental Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | RR · Rental | $141.25 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $181.97 Median $1,023.29 Typical High $1,348.96 | Facility | None | $181.97 | $1,023.29 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $1,258.93 Median $1,288.25 Typical High $1,862.09 | Professional | None | $1,258.93 | $1,288.25 | $1,862.09 |
Medcost Setting Professional Modifier RR · Rental Typical Low $125.89 Median $125.89 Typical High $229.09 | Professional | RR · Rental | $125.89 | $125.89 | $229.09 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $575.44 Typical High $1,023.29 | Professional | None | $75.86 | $575.44 | $1,023.29 |
United Setting Professional Modifier None Typical Low $537.03 Median $794.33 Typical High $1,202.26 | Professional | None | $537.03 | $794.33 | $1,202.26 |
United Setting Professional Modifier RR · Rental Typical Low $61.66 Median $91.20 Typical High $144.54 | Professional | RR · Rental | $61.66 | $91.20 | $144.54 |
United Setting Professional Modifier UE · Used equipment Typical Low $398.11 Median $602.56 Typical High $912.01 | Professional | UE · Used equipment | $398.11 | $602.56 | $912.01 |
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 $1,949.84 Median $1,949.84 Typical High $2,818.38 | Professional | 50 · Both sides | $1,949.84 | $1,949.84 | $2,818.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $645.65 Median $645.65 Typical High $933.25 | Professional | 51 · Multiple procedures | $645.65 | $645.65 | $933.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $257.04 Median $257.04 Typical High $371.54 | Professional | 80 · Assistant surgeon | $257.04 | $257.04 | $371.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $181.97 Median $181.97 Typical High $263.03 | Professional | 81 · Minimal assistant surgeon | $181.97 | $181.97 | $263.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $181.97 Median $181.97 Typical High $263.03 | Professional | 82 · Assistant surgeon, no resident | $181.97 | $181.97 | $263.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $181.97 Typical High $263.03 | Professional | AS · PA/NP assist | $181.97 | $181.97 | $263.03 |
Where South Carolina sits
The same service costs 14.5 times more in North Dakota 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· 14th of 51
$1,259
ND $2,042IL $141
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.