How much rates vary
Facilitymedian $123 · 10th to 90th $100 to $219Professionalmedian $200 · 10th to 90th $100 to $219
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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $125.89 | Professional | None | $85.11 | $100.00 | $125.89 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $66.07 Median $75.86 Typical High $75.86 | Professional | UE · Used equipment | $66.07 | $75.86 | $75.86 |
BCBS South Carolina Setting Facility Modifier None Typical Low $199.53 Median $218.78 Typical High $218.78 | Facility | None | $199.53 | $218.78 | $218.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $165.96 Median $199.53 Typical High $218.78 | Professional | None | $165.96 | $199.53 | $218.78 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $14.79 Median $18.20 Typical High $20.42 | Professional | RR · Rental | $14.79 | $18.20 | $20.42 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | UE · Used equipment | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $134.90 | Professional | None | $104.71 | $123.03 | $134.90 |
Cigna Setting Professional Modifier RR · Rental Typical Low $10.47 Median $12.30 Typical High $13.18 | Professional | RR · Rental | $10.47 | $12.30 | $13.18 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $109.65 Typical High $251.19 | Facility | None | $85.11 | $109.65 | $251.19 |
Medcost Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $302.00 | Professional | None | $173.78 | $173.78 | $302.00 |
Molina Setting Professional Modifier None Typical Low $14.45 Median $112.20 Typical High $144.54 | Professional | None | $14.45 | $112.20 | $144.54 |
United Setting Professional Modifier None Typical Low $60.26 Median $89.13 Typical High $177.83 | Professional | None | $60.26 | $89.13 | $177.83 |
United Setting Professional Modifier RR · Rental Typical Low $5.89 Median $8.71 Typical High $16.60 | Professional | RR · Rental | $5.89 | $8.71 | $16.60 |
United Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $69.18 Typical High $134.90 | Professional | UE · Used equipment | $45.71 | $69.18 | $134.90 |
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 $263.03 Median $263.03 Typical High $446.68 | Professional | 50 · Both sides | $263.03 | $263.03 | $446.68 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $87.10 Median $87.10 Typical High $151.36 | Professional | 51 · Multiple procedures | $87.10 | $87.10 | $151.36 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $34.67 Median $34.67 Typical High $60.26 | Professional | 80 · Assistant surgeon | $34.67 | $34.67 | $60.26 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $24.55 Median $24.55 Typical High $41.69 | Professional | 81 · Minimal assistant surgeon | $24.55 | $24.55 | $41.69 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $24.55 Median $24.55 Typical High $41.69 | Professional | 82 · Assistant surgeon, no resident | $24.55 | $24.55 | $41.69 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $24.55 Median $24.55 Typical High $41.69 | Professional | AS · PA/NP assist | $24.55 | $24.55 | $41.69 |
Where South Carolina sits
The same service costs 14.1 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· 3rd of 51
$200
KS $214IL $15.14
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.