How much rates vary
Facilitymedian $141 · 10th to 90th $15 to $178Professionalmedian $126 · 10th to 90th $14 to $178
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $177.83 | Professional | None (both parts) | $141.25 | $141.25 | $177.83 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $104.71 Median $104.71 Typical High $134.90 | Professional | UE · Used equipment | $104.71 | $104.71 | $134.90 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $14.45 Median $20.42 Typical High $20.42 | Professional | RR · Rental | $14.45 | $20.42 | $20.42 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $31.62 Median $50.12 Typical High $50.12 | Professional | RR · Rental | $31.62 | $50.12 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $147.91 | Facility | None | $14.79 | $14.79 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $107.15 | $125.89 | $125.89 |
Cigna Setting Professional Modifier RR · Rental Typical Low $12.59 Median $12.59 Typical High $14.79 | Professional | RR · Rental | $12.59 | $12.59 | $14.79 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | UE · Used equipment | $93.33 | $93.33 | $93.33 |
Medcost Setting Professional Modifier RR · Rental Typical Low $22.39 Median $30.90 Typical High $46.77 | Professional | RR · Rental | $22.39 | $30.90 | $46.77 |
Medcost Setting Facility Modifier None Typical Low $50.12 Median $141.25 Typical High $190.55 | Facility | None | $50.12 | $141.25 | $190.55 |
Medcost Setting Professional Modifier None (both parts) Typical Low $33.11 Median $43.65 Typical High $190.55 | Professional | None (both parts) | $33.11 | $43.65 | $190.55 |
Medcost Setting Professional Modifier RR · Rental Typical Low $24.55 Median $28.18 Typical High $28.84 | Professional | RR · Rental | $24.55 | $28.18 | $28.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None (both parts) | $23.44 | $23.44 | $23.44 |
United Setting Professional Modifier None (both parts) Typical Low $9.77 Median $17.38 Typical High $75.86 | Professional | None (both parts) | $9.77 | $17.38 | $75.86 |
United Setting Professional Modifier RR · Rental Typical Low $8.32 Median $12.02 Typical High $28.84 | Professional | RR · Rental | $8.32 | $12.02 | $28.84 |
United Setting Professional Modifier UE · Used equipment Typical Low $56.23 Median $56.23 Typical High $104.71 | Professional | UE · Used equipment | $56.23 | $56.23 | $104.71 |
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 $79.43 Median $89.13 Typical High $89.13 | Facility | QB · Oxygen over 4 L/min + portable + QF · Oxygen over 4 L/min at rest + portable + RR · Rental | $79.43 | $89.13 | $89.13 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $17.78 | $44.67 | $75.86 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $48.98 Median $66.07 Typical High $281.84 | Professional | 50 · Both sides | $48.98 | $66.07 | $281.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $16.60 Median $21.88 Typical High $95.50 | Professional | 51 · Multiple procedures | $16.60 | $21.88 | $95.50 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.61 Median $8.71 Typical High $38.02 | Professional | 80 · Assistant surgeon | $6.61 | $8.71 | $38.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.57 Median $6.17 Typical High $26.30 | Professional | 81 · Minimal assistant surgeon | $4.57 | $6.17 | $26.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.57 Median $6.17 Typical High $26.30 | Professional | 82 · Assistant surgeon, no resident | $4.57 | $6.17 | $26.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.57 Median $6.17 Typical High $26.30 | Professional | AS · PA/NP assist | $4.57 | $6.17 | $26.30 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $67.61 Typical High $112.20 | Professional | TC · Technical part | $26.30 | $67.61 | $112.20 |
Where South Carolina sits
The same service costs 12.3 times more in Wyoming 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· 22nd of 51
$126
WY $302IL $24.55
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.