How much rates vary
Facilitymedian $776 · 10th to 90th $589 to $933Professionalmedian $1,047 · 10th to 90th $603 to $1,202
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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $933.25 | Professional | None | $707.95 | $707.95 | $933.25 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $524.81 Typical High $707.95 | Professional | UE · Used equipment | $524.81 | $524.81 | $707.95 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $123.03 Median $138.04 Typical High $138.04 | Facility | RR · Rental | $123.03 | $138.04 | $138.04 |
BCBS South Carolina Setting Professional Modifier None Typical Low $870.96 Median $1,071.52 Typical High $1,148.15 | Professional | None | $870.96 | $1,071.52 | $1,148.15 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $89.13 Median $107.15 Typical High $138.04 | Professional | RR · Rental | $89.13 | $107.15 | $138.04 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | UE · Used equipment | $707.95 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $776.25 Typical High $776.25 | Professional | None | $660.69 | $776.25 | $776.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $66.07 Median $77.62 Typical High $77.62 | Professional | RR · Rental | $66.07 | $77.62 | $77.62 |
Medcost Setting Professional Modifier RR · Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $97.72 | $97.72 | $97.72 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $707.95 Typical High $954.99 | Facility | None | $125.89 | $707.95 | $954.99 |
Medcost Setting Professional Modifier None Typical Low $891.25 Median $1,659.59 Typical High $1,659.59 | Professional | None | $891.25 | $1,659.59 | $1,659.59 |
United Setting Professional Modifier None Typical Low $371.54 Median $562.34 Typical High $851.14 | Professional | None | $371.54 | $562.34 | $851.14 |
United Setting Professional Modifier RR · Rental Typical Low $42.66 Median $63.10 Typical High $102.33 | Professional | RR · Rental | $42.66 | $63.10 | $102.33 |
United Setting Professional Modifier UE · Used equipment Typical Low $281.84 Median $426.58 Typical High $645.65 | Professional | UE · Used equipment | $281.84 | $426.58 | $645.65 |
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 $1,949.84 Median $2,511.89 Typical High $2,511.89 | Professional | 50 · Both sides | $1,949.84 | $2,511.89 | $2,511.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $660.69 Median $831.76 Typical High $831.76 | Professional | 51 · Multiple procedures | $660.69 | $831.76 | $831.76 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $263.03 Median $331.13 Typical High $331.13 | Professional | 80 · Assistant surgeon | $263.03 | $331.13 | $331.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $181.97 Median $234.42 Typical High $234.42 | Professional | 81 · Minimal assistant surgeon | $181.97 | $234.42 | $234.42 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $181.97 Median $234.42 Typical High $234.42 | Professional | 82 · Assistant surgeon, no resident | $181.97 | $234.42 | $234.42 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $181.97 Median $234.42 Typical High $234.42 | Professional | AS · PA/NP assist | $181.97 | $234.42 | $234.42 |
Where South Carolina sits
The same service costs 4.7 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· 7th of 51
$1,047
KS $2,138RI $457
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.