How much rates vary
Facilitymedian $269 · 10th to 90th $50 to $347Professionalmedian $269 · 10th to 90th $19 to $269
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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $346.74 | Professional | None (both parts) | $269.15 | $269.15 | $346.74 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $199.53 Typical High $257.04 | Professional | UE · Used equipment | $199.53 | $199.53 | $257.04 |
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 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $50.12 Median $50.12 Typical High $51.29 | Professional | RR · Rental | $50.12 | $50.12 | $51.29 |
Cigna Setting Facility Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $38.02 | Facility | RR · Rental | $30.90 | $30.90 | $38.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $691.83 | Professional | None (both parts) | $562.34 | $562.34 | $691.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $30.90 | Professional | RR · Rental | $26.30 | $26.30 | $30.90 |
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 $269.15 Typical High $346.74 | Facility | None | $50.12 | $269.15 | $346.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $33.11 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $33.11 | $91.20 | $91.20 |
Medcost Setting Professional Modifier RR · Rental Typical Low $28.18 Median $28.84 Typical High $45.71 | Professional | RR · Rental | $28.18 | $28.84 | $45.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None (both parts) | $20.42 | $20.42 | $20.42 |
United Setting Professional Modifier None (both parts) Typical Low $17.78 Median $21.38 Typical High $26.92 | Professional | None (both parts) | $17.78 | $21.38 | $26.92 |
United Setting Professional Modifier RR · Rental Typical Low $17.38 Median $23.44 Typical High $30.20 | Professional | RR · Rental | $17.38 | $23.44 | $30.20 |
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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $13.18 | $36.31 | $36.31 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $48.98 Median $134.90 Typical High $134.90 | Professional | 50 · Both sides | $48.98 | $134.90 | $134.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $16.60 Median $44.67 Typical High $44.67 | Professional | 51 · Multiple procedures | $16.60 | $44.67 | $44.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.61 Median $18.20 Typical High $18.20 | Professional | 80 · Assistant surgeon | $6.61 | $18.20 | $18.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.57 Median $12.59 Typical High $12.59 | Professional | 81 · Minimal assistant surgeon | $4.57 | $12.59 | $12.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.57 Median $12.59 Typical High $12.59 | Professional | 82 · Assistant surgeon, no resident | $4.57 | $12.59 | $12.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.57 Median $12.59 Typical High $12.59 | Professional | AS · PA/NP assist | $4.57 | $12.59 | $12.59 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $19.95 | $53.70 | $53.70 |
Where South Carolina sits
The same service costs 29.5 times more in Wyoming than in Oklahoma. 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· 11th of 51
$269
WY $676OK $22.91
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.