How much rates vary
Facilitymedian $1,000 · 10th to 90th $741 to $1,175Professionalmedian $1,318 · 10th to 90th $759 to $1,349
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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,174.90 | Professional | None | $891.25 | $891.25 | $1,174.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $660.69 Typical High $891.25 | Professional | UE · Used equipment | $660.69 | $660.69 | $891.25 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $154.88 Median $173.78 Typical High $173.78 | Facility | RR · Rental | $154.88 | $173.78 | $173.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,096.48 Median $1,348.96 Typical High $1,445.44 | Professional | None | $1,096.48 | $1,348.96 | $1,445.44 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $112.20 Median $134.90 Typical High $173.78 | Professional | RR · Rental | $112.20 | $134.90 | $173.78 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | UE · Used equipment | $912.01 | $912.01 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,000.00 Typical High $1,000.00 | Professional | None | $831.76 | $1,000.00 | $1,000.00 |
Cigna Setting Professional Modifier RR · Rental Typical Low $83.18 Median $100.00 Typical High $112.20 | Professional | RR · Rental | $83.18 | $100.00 | $112.20 |
Medcost Setting Professional Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | RR · Rental | $112.20 | $112.20 | $112.20 |
Medcost Setting Facility Modifier None Typical Low $158.49 Median $891.25 Typical High $1,202.26 | Facility | None | $158.49 | $891.25 | $1,202.26 |
Medcost Setting Professional Modifier None Typical Low $1,122.02 Median $1,148.15 Typical High $1,659.59 | Professional | None | $1,122.02 | $1,148.15 | $1,659.59 |
United Setting Professional Modifier None Typical Low $478.63 Median $707.95 Typical High $1,071.52 | Professional | None | $478.63 | $707.95 | $1,071.52 |
United Setting Professional Modifier RR · Rental Typical Low $53.70 Median $79.43 Typical High $128.82 | Professional | RR · Rental | $53.70 | $79.43 | $128.82 |
United Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $537.03 Typical High $812.83 | Professional | UE · Used equipment | $354.81 | $537.03 | $812.83 |
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 $1,737.80 Median $1,737.80 Typical High $2,511.89 | Professional | 50 · Both sides | $1,737.80 | $1,737.80 | $2,511.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $575.44 Median $575.44 Typical High $831.76 | Professional | 51 · Multiple procedures | $575.44 | $575.44 | $831.76 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $229.09 Median $229.09 Typical High $331.13 | Professional | 80 · Assistant surgeon | $229.09 | $229.09 | $331.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $162.18 Median $162.18 Typical High $234.42 | Professional | 81 · Minimal assistant surgeon | $162.18 | $162.18 | $234.42 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $162.18 Median $162.18 Typical High $234.42 | Professional | 82 · Assistant surgeon, no resident | $162.18 | $162.18 | $234.42 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $162.18 Median $162.18 Typical High $234.42 | Professional | AS · PA/NP assist | $162.18 | $162.18 | $234.42 |
Where South Carolina sits
The same service costs 3.2 times more in Minnesota than in Rhode Island. 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· 9th of 51
$1,318
MN $1,778RI $550
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.