How much rates vary
Facilitymedian $355 · 10th to 90th $316 to $468Professionalmedian $537 · 10th to 90th $269 to $603
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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $467.74 | Professional | None | $371.54 | $371.54 | $467.74 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $281.84 Median $281.84 Typical High $354.81 | Professional | UE · Used equipment | $281.84 | $281.84 | $354.81 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $67.61 Median $74.13 Typical High $74.13 | Facility | RR · Rental | $67.61 | $74.13 | $74.13 |
BCBS South Carolina Setting Professional Modifier None Typical Low $436.52 Median $549.54 Typical High $588.84 | Professional | None | $436.52 | $549.54 | $588.84 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $45.71 Median $54.95 Typical High $74.13 | Professional | RR · Rental | $45.71 | $54.95 | $74.13 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | UE · Used equipment | $389.05 | $389.05 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $316.23 Typical High $316.23 | Professional | None | $269.15 | $316.23 | $316.23 |
Medcost Setting Professional Modifier RR · Rental Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | RR · Rental | $50.12 | $50.12 | $50.12 |
Medcost Setting Facility Modifier None Typical Low $67.61 Median $371.54 Typical High $501.19 | Facility | None | $67.61 | $371.54 | $501.19 |
Medcost Setting Professional Modifier None Typical Low $380.19 Median $912.01 Typical High $912.01 | Professional | None | $380.19 | $912.01 | $912.01 |
United Setting Professional Modifier None Typical Low $162.18 Median $263.03 Typical High $436.52 | Professional | None | $162.18 | $263.03 | $436.52 |
United Setting Professional Modifier RR · Rental Typical Low $22.39 Median $33.11 Typical High $51.29 | Professional | RR · Rental | $22.39 | $33.11 | $51.29 |
United Setting Professional Modifier UE · Used equipment Typical Low $120.23 Median $199.53 Typical High $323.59 | Professional | UE · Used equipment | $120.23 | $199.53 | $323.59 |
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 $1,000.00 Median $1,380.38 Typical High $1,380.38 | Professional | 50 · Both sides | $1,000.00 | $1,380.38 | $1,380.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $331.13 Median $457.09 Typical High $457.09 | Professional | 51 · Multiple procedures | $331.13 | $457.09 | $457.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $134.90 Median $181.97 Typical High $181.97 | Professional | 80 · Assistant surgeon | $134.90 | $181.97 | $181.97 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $93.33 Median $128.82 Typical High $128.82 | Professional | 81 · Minimal assistant surgeon | $93.33 | $128.82 | $128.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $93.33 Median $128.82 Typical High $128.82 | Professional | 82 · Assistant surgeon, no resident | $93.33 | $128.82 | $128.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $128.82 Typical High $128.82 | Professional | AS · PA/NP assist | $93.33 | $128.82 | $128.82 |
Where South Carolina sits
The same service costs 3.5 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
$537
ND $794MS $229
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.