How much rates vary
Facilitymedian $1,259 · 10th to 90th $209 to $1,622Professionalmedian $2,089 · 10th to 90th $1,000 to $2,570
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,258.93 Typical High $1,288.25 | Professional | None | $1,047.13 | $1,258.93 | $1,288.25 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $245.47 Median $269.15 Typical High $269.15 | Facility | RR · Rental | $245.47 | $269.15 | $269.15 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,445.44 Median $2,570.40 Typical High $2,754.23 | Professional | None | $1,445.44 | $2,570.40 | $2,754.23 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $194.98 Median $257.04 Typical High $269.15 | Professional | RR · Rental | $194.98 | $257.04 | $269.15 |
Cigna Setting Facility Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $169.82 | Facility | RR · Rental | $138.04 | $138.04 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $2,290.87 | Professional | None | $1,548.82 | $1,548.82 | $2,290.87 |
Cigna Setting Professional Modifier RR · Rental Typical Low $117.49 Median $138.04 Typical High $169.82 | Professional | RR · Rental | $117.49 | $138.04 | $169.82 |
Medcost Setting Professional Modifier RR · Rental Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | RR · Rental | $177.83 | $177.83 | $177.83 |
Medcost Setting Facility Modifier None Typical Low $208.93 Median $1,258.93 Typical High $1,698.24 | Facility | None | $208.93 | $1,258.93 | $1,698.24 |
Medcost Setting Professional Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $2,511.89 | Professional | None | $1,659.59 | $1,949.84 | $2,511.89 |
Molina Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | None | $125.89 | $125.89 | $169.82 |
United Setting Professional Modifier None Typical Low $616.60 Median $1,000.00 Typical High $1,659.59 | Professional | None | $616.60 | $1,000.00 | $1,659.59 |
United Setting Professional Modifier RR · Rental Typical Low $77.62 Median $114.82 Typical High $218.78 | Professional | RR · Rental | $77.62 | $114.82 | $218.78 |
8 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $954.99 Typical High $954.99 | Professional | UE · Used equipment | $630.96 | $954.99 | $954.99 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,884.03 Median $2,884.03 Typical High $3,801.89 | Professional | 50 · Both sides | $2,884.03 | $2,884.03 | $3,801.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $954.99 Median $954.99 Typical High $1,258.93 | Professional | 51 · Multiple procedures | $954.99 | $954.99 | $1,258.93 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $389.05 Median $389.05 Typical High $501.19 | Professional | 80 · Assistant surgeon | $389.05 | $389.05 | $501.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $269.15 Median $269.15 Typical High $354.81 | Professional | 81 · Minimal assistant surgeon | $269.15 | $269.15 | $354.81 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $269.15 Median $269.15 Typical High $354.81 | Professional | 82 · Assistant surgeon, no resident | $269.15 | $269.15 | $354.81 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $269.15 Median $269.15 Typical High $354.81 | Professional | AS · PA/NP assist | $269.15 | $269.15 | $354.81 |
United Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $741.31 Typical High $1,230.27 | Professional | UE · Used equipment | $457.09 | $741.31 | $1,230.27 |
Where South Carolina sits
The same service costs 20.9 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· 4th of 51
$2,089
KS $3,162IL $151
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.