How much rates vary
Facilitymedian $25 · 10th to 90th $22 to $41Professionalmedian $33 · 10th to 90th $18 to $110
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 $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $27.54 | Professional | None (both parts) | $21.88 | $21.88 | $27.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $16.22 Typical High $20.89 | Professional | UE · Used equipment | $16.22 | $16.22 | $20.89 |
BCBS South Carolina Setting Facility Modifier None Typical Low $36.31 Median $40.74 Typical High $40.74 | Facility | None | $36.31 | $40.74 | $40.74 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $40.74 Median $83.18 Typical High $109.65 | Professional | None (both parts) | $40.74 | $83.18 | $109.65 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | UE · Used equipment | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $29.51 | Facility | None | $25.12 | $25.12 | $29.51 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $25.12 | Professional | None (both parts) | $21.38 | $21.38 | $25.12 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | RR · Rental | $2.14 | $2.14 | $2.14 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | UE · Used equipment | $16.22 | $16.22 | $16.22 |
Medcost Setting Professional Modifier None Typical Low $22.91 Median $33.11 Typical High $48.98 | Professional | None | $22.91 | $33.11 | $48.98 |
Medcost Setting Facility Modifier None Typical Low $21.88 Median $27.54 Typical High $61.66 | Facility | None | $21.88 | $27.54 | $61.66 |
Medcost Setting Professional Modifier None (both parts) Typical Low $29.51 Median $34.67 Typical High $52.48 | Professional | None (both parts) | $29.51 | $34.67 | $52.48 |
Medcost Setting Professional Modifier RR · Rental Typical Low $1.95 Median $2.75 Typical High $25.12 | Professional | RR · Rental | $1.95 | $2.75 | $25.12 |
United Setting Professional Modifier None (both parts) Typical Low $14.13 Median $19.50 Typical High $29.51 | Professional | None (both parts) | $14.13 | $19.50 | $29.51 |
United Setting Professional Modifier RR · Rental Typical Low $1.23 Median $1.58 Typical High $3.02 | Professional | RR · Rental | $1.23 | $1.58 | $3.02 |
United Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $11.48 Typical High $29.51 | Professional | UE · Used equipment | $9.12 | $11.48 | $29.51 |
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 $12.02 Median $13.80 Typical High $26.30 | Professional | 26 · Professional part | $12.02 | $13.80 | $26.30 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $44.67 Median $51.29 Typical High $91.20 | Professional | 50 · Both sides | $44.67 | $51.29 | $91.20 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.79 Median $17.38 Typical High $34.67 | Professional | 51 · Multiple procedures | $14.79 | $17.38 | $34.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.89 Median $6.92 Typical High $12.02 | Professional | 80 · Assistant surgeon | $5.89 | $6.92 | $12.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.17 Median $4.79 Typical High $8.51 | Professional | 81 · Minimal assistant surgeon | $4.17 | $4.79 | $8.51 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.17 Median $4.79 Typical High $8.51 | Professional | 82 · Assistant surgeon, no resident | $4.17 | $4.79 | $8.51 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.17 Median $4.79 Typical High $8.51 | Professional | AS · PA/NP assist | $4.17 | $4.79 | $8.51 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $39.81 | Professional | TC · Technical part | $17.78 | $20.89 | $39.81 |
Where South Carolina sits
The same service costs 2.6 times more in Hawaii 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· 19th of 51
$30.90
HI $42.66RI $16.22
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.