How much rates vary
Facilitymedian $407 · 10th to 90th $355 to $525Professionalmedian $631 · 10th to 90th $316 to $724
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 $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $524.81 | Professional | None | $416.87 | $416.87 | $524.81 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $316.23 Median $316.23 Typical High $398.11 | Professional | UE · Used equipment | $316.23 | $316.23 | $398.11 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $75.86 Median $85.11 Typical High $85.11 | Facility | RR · Rental | $75.86 | $85.11 | $85.11 |
BCBS South Carolina Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $691.83 | Professional | None | $524.81 | $645.65 | $691.83 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $53.70 Median $64.57 Typical High $85.11 | Professional | RR · Rental | $53.70 | $64.57 | $85.11 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | UE · Used equipment | $501.19 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $398.11 | Facility | None | $371.54 | $371.54 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $371.54 | Professional | None | $316.23 | $371.54 | $371.54 |
Cigna Setting Professional Modifier RR · Rental Typical Low $31.62 Median $37.15 Typical High $37.15 | Professional | RR · Rental | $31.62 | $37.15 | $37.15 |
Medcost Setting Professional Modifier RR · Rental Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | RR · Rental | $58.88 | $58.88 | $58.88 |
Medcost Setting Facility Modifier None Typical Low $74.13 Median $416.87 Typical High $562.34 | Facility | None | $74.13 | $416.87 | $562.34 |
Medcost Setting Professional Modifier None Typical Low $446.68 Median $1,071.52 Typical High $1,071.52 | Professional | None | $446.68 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $190.55 Median $316.23 Typical High $512.86 | Professional | None | $190.55 | $316.23 | $512.86 |
United Setting Professional Modifier RR · Rental Typical Low $25.12 Median $38.90 Typical High $60.26 | Professional | RR · Rental | $25.12 | $38.90 | $60.26 |
United Setting Professional Modifier UE · Used equipment Typical Low $144.54 Median $234.42 Typical High $380.19 | Professional | UE · Used equipment | $144.54 | $234.42 | $380.19 |
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 $1,174.90 Median $1,584.89 Typical High $1,584.89 | Professional | 50 · Both sides | $1,174.90 | $1,584.89 | $1,584.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $389.05 Median $537.03 Typical High $537.03 | Professional | 51 · Multiple procedures | $389.05 | $537.03 | $537.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $158.49 Median $213.80 Typical High $213.80 | Professional | 80 · Assistant surgeon | $158.49 | $213.80 | $213.80 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $109.65 Median $147.91 Typical High $147.91 | Professional | 81 · Minimal assistant surgeon | $109.65 | $147.91 | $147.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $109.65 Median $147.91 Typical High $147.91 | Professional | 82 · Assistant surgeon, no resident | $109.65 | $147.91 | $147.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $109.65 Median $147.91 Typical High $147.91 | Professional | AS · PA/NP assist | $109.65 | $147.91 | $147.91 |
Where South Carolina sits
The same service costs 4.2 times more in North Dakota 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· 7th of 51
$631
ND $851RI $204
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.