How much rates vary
Facilitymedian $120 · 10th to 90th $105 to $219Professionalmedian $186 · 10th to 90th $102 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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $131.83 | Professional | None | $79.43 | $104.71 | $131.83 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $58.88 Median $77.62 Typical High $79.43 | Professional | UE · Used equipment | $58.88 | $77.62 | $79.43 |
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 $151.36 Median $186.21 Typical High $218.78 | Professional | None | $151.36 | $186.21 | $218.78 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $13.49 Median $16.98 Typical High $20.42 | Professional | RR · Rental | $13.49 | $16.98 | $20.42 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | UE · Used equipment | $165.96 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $128.82 | Professional | None | $102.33 | $120.23 | $128.82 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $93.33 Median $117.49 Typical High $234.42 | Facility | None | $93.33 | $117.49 | $234.42 |
Medcost Setting Professional Modifier None Typical Low $151.36 Median $223.87 Typical High $275.42 | Professional | None | $151.36 | $223.87 | $275.42 |
Molina Setting Professional Modifier None Typical Low $11.48 Median $85.11 Typical High $138.04 | Professional | None | $11.48 | $85.11 | $138.04 |
United Setting Professional Modifier None Typical Low $63.10 Median $93.33 Typical High $162.18 | Professional | None | $63.10 | $93.33 | $162.18 |
United Setting Professional Modifier RR · Rental Typical Low $6.17 Median $9.33 Typical High $15.14 | Professional | RR · Rental | $6.17 | $9.33 | $15.14 |
United Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $70.79 Typical High $120.23 | Professional | UE · Used equipment | $46.77 | $70.79 | $120.23 |
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 $229.09 Median $331.13 Typical High $407.38 | Professional | 50 · Both sides | $229.09 | $331.13 | $407.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $75.86 Median $112.20 Typical High $138.04 | Professional | 51 · Multiple procedures | $75.86 | $112.20 | $138.04 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.20 Median $44.67 Typical High $54.95 | Professional | 80 · Assistant surgeon | $30.20 | $44.67 | $54.95 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.38 Median $30.90 Typical High $38.02 | Professional | 81 · Minimal assistant surgeon | $21.38 | $30.90 | $38.02 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.38 Median $30.90 Typical High $38.02 | Professional | 82 · Assistant surgeon, no resident | $21.38 | $30.90 | $38.02 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.38 Median $30.90 Typical High $38.02 | Professional | AS · PA/NP assist | $21.38 | $30.90 | $38.02 |
Where South Carolina sits
The same service costs 13.5 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
$186
KS $234IL $17.38
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.