How much rates vary
Facilitymedian $550 · 10th to 90th $407 to $631Professionalmedian $955 · 10th to 90th $479 to $1,072
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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $630.96 | Professional | None | $501.19 | $501.19 | $630.96 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $371.54 Median $371.54 Typical High $467.74 | Professional | UE · Used equipment | $371.54 | $371.54 | $467.74 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $100.00 Median $109.65 Typical High $109.65 | Facility | RR · Rental | $100.00 | $109.65 | $109.65 |
BCBS South Carolina Setting Professional Modifier None Typical Low $794.33 Median $1,000.00 Typical High $1,071.52 | Professional | None | $794.33 | $1,000.00 | $1,071.52 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $83.18 Median $100.00 Typical High $109.65 | Professional | RR · Rental | $83.18 | $100.00 | $109.65 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | UE · Used equipment | $660.69 | $660.69 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $562.34 | Facility | None | $549.54 | $549.54 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $588.84 | Professional | None | $467.74 | $549.54 | $588.84 |
Cigna Setting Professional Modifier RR · Rental Typical Low $46.77 Median $54.95 Typical High $54.95 | Professional | RR · Rental | $46.77 | $54.95 | $54.95 |
Medcost Setting Professional Modifier RR · Rental Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | RR · Rental | $91.20 | $91.20 | $91.20 |
Medcost Setting Facility Modifier None Typical Low $77.62 Median $501.19 Typical High $676.08 | Facility | None | $77.62 | $501.19 | $676.08 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $1,348.96 Typical High $1,348.96 | Professional | None | $645.65 | $1,348.96 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $72.44 Typical High $724.44 | Professional | None | $53.70 | $72.44 | $724.44 |
United Setting Professional Modifier None Typical Low $295.12 Median $489.78 Typical High $794.33 | Professional | None | $295.12 | $489.78 | $794.33 |
United Setting Professional Modifier RR · Rental Typical Low $29.51 Median $46.77 Typical High $93.33 | Professional | RR · Rental | $29.51 | $46.77 | $93.33 |
United Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $363.08 Typical High $588.84 | Professional | UE · Used equipment | $218.78 | $363.08 | $588.84 |
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 $1,819.70 Median $2,041.74 Typical High $2,041.74 | Professional | 50 · Both sides | $1,819.70 | $2,041.74 | $2,041.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $616.60 Median $676.08 Typical High $676.08 | Professional | 51 · Multiple procedures | $616.60 | $676.08 | $676.08 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $245.47 Median $269.15 Typical High $269.15 | Professional | 80 · Assistant surgeon | $245.47 | $269.15 | $269.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $169.82 Median $190.55 Typical High $190.55 | Professional | 81 · Minimal assistant surgeon | $169.82 | $190.55 | $190.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $169.82 Median $190.55 Typical High $190.55 | Professional | 82 · Assistant surgeon, no resident | $169.82 | $190.55 | $190.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $169.82 Median $190.55 Typical High $190.55 | Professional | AS · PA/NP assist | $169.82 | $190.55 | $190.55 |
Where South Carolina sits
The same service costs 15.1 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· 2nd of 51
$955
KS $955IL $63.10
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.