How much rates vary
Facilitymedian $891 · 10th to 90th $661 to $1,072Professionalmedian $1,230 · 10th to 90th $741 to $1,413
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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,071.52 | Professional | None | $812.83 | $812.83 | $1,071.52 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $602.56 Typical High $794.33 | Professional | UE · Used equipment | $602.56 | $602.56 | $794.33 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $141.25 Median $158.49 Typical High $158.49 | Facility | RR · Rental | $141.25 | $158.49 | $158.49 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,000.00 Median $1,258.93 Typical High $1,318.26 | Professional | None | $1,000.00 | $1,258.93 | $1,318.26 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $104.71 Median $125.89 Typical High $158.49 | Professional | RR · Rental | $104.71 | $125.89 | $158.49 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | UE · Used equipment | $977.24 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $891.25 Typical High $891.25 | Professional | None | $741.31 | $891.25 | $891.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $74.13 Median $89.13 Typical High $89.13 | Professional | RR · Rental | $74.13 | $89.13 | $89.13 |
Medcost Setting Professional Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | RR · Rental | $114.82 | $114.82 | $114.82 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $812.83 Typical High $1,096.48 | Facility | None | $144.54 | $812.83 | $1,096.48 |
Medcost Setting Professional Modifier None Typical Low $1,174.90 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,174.90 | $1,737.80 | $1,737.80 |
United Setting Professional Modifier None Typical Low $501.19 Median $741.31 Typical High $1,047.13 | Professional | None | $501.19 | $741.31 | $1,047.13 |
United Setting Professional Modifier RR · Rental Typical Low $48.98 Median $72.44 Typical High $117.49 | Professional | RR · Rental | $48.98 | $72.44 | $117.49 |
United Setting Professional Modifier UE · Used equipment Typical Low $371.54 Median $562.34 Typical High $794.33 | Professional | UE · Used equipment | $371.54 | $562.34 | $794.33 |
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 $2,290.87 Median $2,630.27 Typical High $2,630.27 | Professional | 50 · Both sides | $2,290.87 | $2,630.27 | $2,630.27 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $758.58 Median $870.96 Typical High $870.96 | Professional | 51 · Multiple procedures | $758.58 | $870.96 | $870.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $309.03 Median $346.74 Typical High $346.74 | Professional | 80 · Assistant surgeon | $309.03 | $346.74 | $346.74 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $213.80 Median $245.47 Typical High $245.47 | Professional | 81 · Minimal assistant surgeon | $213.80 | $245.47 | $245.47 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $213.80 Median $245.47 Typical High $245.47 | Professional | 82 · Assistant surgeon, no resident | $213.80 | $245.47 | $245.47 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $213.80 Median $245.47 Typical High $245.47 | Professional | AS · PA/NP assist | $213.80 | $245.47 | $245.47 |
Where South Carolina sits
The same service costs 4.6 times more in Kansas 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· 9th of 51
$1,230
KS $2,399RI $525
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.