How much rates vary
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 $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $26.30 | Professional | None | $21.38 | $21.38 | $26.30 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $16.22 Typical High $19.50 | Professional | UE · Used equipment | $16.22 | $16.22 | $19.50 |
BCBS South Carolina Setting Facility Modifier None Typical Low $40.74 Median $44.67 Typical High $44.67 | Facility | None | $40.74 | $44.67 | $44.67 |
BCBS South Carolina Setting Professional Modifier None Typical Low $28.84 Median $34.67 Typical High $44.67 | Professional | None | $28.84 | $34.67 | $44.67 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | RR · Rental | $4.68 | $4.68 | $4.68 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | UE · Used equipment | $33.88 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $27.54 Typical High $29.51 | Professional | None | $23.44 | $27.54 | $29.51 |
Medcost Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Medcost Setting Facility Modifier None Typical Low $19.95 Median $25.70 Typical High $47.86 | Facility | None | $19.95 | $25.70 | $47.86 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $51.29 | Professional | None | $28.84 | $28.84 | $51.29 |
United Setting Professional Modifier None Typical Low $12.88 Median $19.50 Typical High $30.90 | Professional | None | $12.88 | $19.50 | $30.90 |
United Setting Professional Modifier RR · Rental Typical Low $1.32 Median $2.00 Typical High $3.31 | Professional | RR · Rental | $1.32 | $2.00 | $3.31 |
United Setting Professional Modifier UE · Used equipment Typical Low $9.77 Median $14.45 Typical High $22.91 | Professional | UE · Used equipment | $9.77 | $14.45 | $22.91 |
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 $43.65 Median $43.65 Typical High $77.62 | Professional | 50 · Both sides | $43.65 | $43.65 | $77.62 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.45 Median $14.45 Typical High $25.70 | Professional | 51 · Multiple procedures | $14.45 | $14.45 | $25.70 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.75 Median $5.75 Typical High $10.47 | Professional | 80 · Assistant surgeon | $5.75 | $5.75 | $10.47 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.07 Median $4.07 Typical High $7.24 | Professional | 81 · Minimal assistant surgeon | $4.07 | $4.07 | $7.24 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.07 Median $4.07 Typical High $7.24 | Professional | 82 · Assistant surgeon, no resident | $4.07 | $4.07 | $7.24 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.07 Median $4.07 Typical High $7.24 | Professional | AS · PA/NP assist | $4.07 | $4.07 | $7.24 |
Where South Carolina sits
The same service costs 9.8 times more in Kansas than in Utah. 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
$34.67
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.