How much rates vary
Facilitymedian $339 · 10th to 90th $245 to $372Professionalmedian $407 · 10th to 90th $200 to $417
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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $371.54 | Professional | None | $288.40 | $288.40 | $371.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $218.78 Typical High $281.84 | Professional | UE · Used equipment | $218.78 | $218.78 | $281.84 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $51.29 Median $56.23 Typical High $56.23 | Facility | RR · Rental | $51.29 | $56.23 | $56.23 |
BCBS South Carolina Setting Professional Modifier None Typical Low $338.84 Median $416.87 Typical High $446.68 | Professional | None | $338.84 | $416.87 | $446.68 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $34.67 Median $41.69 Typical High $56.23 | Professional | RR · Rental | $34.67 | $41.69 | $56.23 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | UE · Used equipment | $302.00 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $338.84 Typical High $338.84 | Professional | None | $288.40 | $338.84 | $338.84 |
Cigna Setting Professional Modifier RR · Rental Typical Low $28.84 Median $33.88 Typical High $33.88 | Professional | RR · Rental | $28.84 | $33.88 | $33.88 |
Medcost Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | RR · Rental | $38.02 | $38.02 | $38.02 |
Medcost Setting Facility Modifier None Typical Low $53.70 Median $288.40 Typical High $389.05 | Facility | None | $53.70 | $288.40 | $389.05 |
Medcost Setting Professional Modifier None Typical Low $52.48 Median $389.05 Typical High $501.19 | Professional | None | $52.48 | $389.05 | $501.19 |
Molina Setting Professional Modifier None Typical Low $22.39 Median $173.78 Typical High $302.00 | Professional | None | $22.39 | $173.78 | $302.00 |
United Setting Professional Modifier None Typical Low $120.23 Median $199.53 Typical High $331.13 | Professional | None | $120.23 | $199.53 | $331.13 |
United Setting Professional Modifier RR · Rental Typical Low $17.78 Median $26.30 Typical High $38.90 | Professional | RR · Rental | $17.78 | $26.30 | $38.90 |
United Setting Professional Modifier UE · Used equipment Typical Low $91.20 Median $151.36 Typical High $245.47 | Professional | UE · Used equipment | $91.20 | $151.36 | $245.47 |
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 $77.62 Median $575.44 Typical High $758.58 | Professional | 50 · Both sides | $77.62 | $575.44 | $758.58 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $25.70 Median $194.98 Typical High $251.19 | Professional | 51 · Multiple procedures | $25.70 | $194.98 | $251.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.47 Median $77.62 Typical High $102.33 | Professional | 80 · Assistant surgeon | $10.47 | $77.62 | $102.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.24 Median $53.70 Typical High $70.79 | Professional | 81 · Minimal assistant surgeon | $7.24 | $53.70 | $70.79 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.24 Median $53.70 Typical High $70.79 | Professional | 82 · Assistant surgeon, no resident | $7.24 | $53.70 | $70.79 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.24 Median $53.70 Typical High $70.79 | Professional | AS · PA/NP assist | $7.24 | $53.70 | $70.79 |
Where South Carolina sits
The same service costs 3.6 times more in North Dakota than in Mississippi. 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· 11th of 51
$407
ND $617MS $170
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.