How much rates vary
Facilitymedian $724 · 10th to 90th $100 to $933Professionalmedian $724 · 10th to 90th $60 to $832
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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $933.25 | Professional | None (both parts) | $724.44 | $724.44 | $933.25 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $549.54 Median $549.54 Typical High $691.83 | Professional | UE · Used equipment | $549.54 | $549.54 | $691.83 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $141.25 Median $141.25 Typical High $147.91 | Professional | RR · Rental | $141.25 | $141.25 | $147.91 |
Cigna Setting Facility Modifier RR · Rental Typical Low $67.61 Median $67.61 Typical High $93.33 | Facility | RR · Rental | $67.61 | $67.61 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $776.25 | $776.25 | $776.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | RR · Rental | $57.54 | $57.54 | $67.61 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | UE · Used equipment | $588.84 | $588.84 | $588.84 |
Medcost Setting Professional Modifier RR · Rental Typical Low $138.04 Median $199.53 Typical High $346.74 | Professional | RR · Rental | $138.04 | $199.53 | $346.74 |
Medcost Setting Facility Modifier None Typical Low $100.00 Median $724.44 Typical High $933.25 | Facility | None | $100.00 | $724.44 | $933.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $218.78 Median $831.76 Typical High $1,258.93 | Professional | None (both parts) | $218.78 | $831.76 | $1,258.93 |
Medcost Setting Professional Modifier RR · Rental Typical Low $125.89 Median $173.78 Typical High $218.78 | Professional | RR · Rental | $125.89 | $173.78 | $218.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $63.10 Typical High $331.13 | Professional | None (both parts) | $51.29 | $63.10 | $331.13 |
United Setting Professional Modifier RR · Rental Typical Low $40.74 Median $81.28 Typical High $181.97 | Professional | RR · Rental | $40.74 | $81.28 | $181.97 |
United Setting Professional Modifier UE · Used equipment Typical Low $251.19 Median $251.19 Typical High $467.74 | Professional | UE · Used equipment | $251.19 | $251.19 | $467.74 |
9 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 |
|---|---|---|---|---|---|
BCBS South Carolina Setting Facility Modifier QB · Oxygen over 4 L/min + portable + QF · Oxygen over 4 L/min at rest + portable + RR · Rental Typical Low $158.49 Median $177.83 Typical High $177.83 | Facility | QB · Oxygen over 4 L/min + portable + QF · Oxygen over 4 L/min at rest + portable + RR · Rental | $158.49 | $177.83 | $177.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $331.13 Typical High $338.84 | Professional | 26 · Professional part | $257.04 | $331.13 | $338.84 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $331.13 Median $1,258.93 Typical High $1,995.26 | Professional | 50 · Both sides | $331.13 | $1,258.93 | $1,995.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $109.65 Median $416.87 Typical High $660.69 | Professional | 51 · Multiple procedures | $109.65 | $416.87 | $660.69 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $43.65 Median $165.96 Typical High $263.03 | Professional | 80 · Assistant surgeon | $43.65 | $165.96 | $263.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.90 Median $117.49 Typical High $186.21 | Professional | 81 · Minimal assistant surgeon | $30.90 | $117.49 | $186.21 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.90 Median $117.49 Typical High $186.21 | Professional | 82 · Assistant surgeon, no resident | $30.90 | $117.49 | $186.21 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.90 Median $117.49 Typical High $186.21 | Professional | AS · PA/NP assist | $30.90 | $117.49 | $186.21 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $380.19 | $501.19 | $501.19 |
Where South Carolina sits
The same service costs 13.2 times more in Wyoming than in Montana. 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· 21st of 51
$724
WY $1,349MT $102
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.