How much rates vary
Facilitymedian $933 · 10th to 90th $93 to $1,175Professionalmedian $1,096 · 10th to 90th $132 to $3,388
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 $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $1,174.90 | Professional | None (both parts) | $954.99 | $954.99 | $1,174.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $707.95 Median $707.95 Typical High $891.25 | Professional | UE · Used equipment | $707.95 | $707.95 | $891.25 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $199.53 Median $223.87 Typical High $223.87 | Facility | RR · Rental | $199.53 | $223.87 | $223.87 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,388.44 Typical High $3,548.13 | Professional | None (both parts) | $3,388.44 | $3,388.44 | $3,548.13 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $223.87 Median $338.84 Typical High $338.84 | Professional | RR · Rental | $223.87 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $933.25 | Facility | None | $93.33 | $93.33 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $933.25 | Professional | None (both parts) | $794.33 | $794.33 | $933.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $93.33 | Professional | RR · Rental | $79.43 | $79.43 | $93.33 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | UE · Used equipment | $602.56 | $602.56 | $602.56 |
Medcost Setting Professional Modifier RR · Rental Typical Low $162.18 Median $234.42 Typical High $398.11 | Professional | RR · Rental | $162.18 | $234.42 | $398.11 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $954.99 Typical High $1,258.93 | Facility | None | $138.04 | $954.99 | $1,258.93 |
Medcost Setting Professional Modifier None (both parts) Typical Low $251.19 Median $1,122.02 Typical High $1,698.24 | Professional | None (both parts) | $251.19 | $1,122.02 | $1,698.24 |
Medcost Setting Professional Modifier RR · Rental Typical Low $162.18 Median $208.93 Typical High $213.80 | Professional | RR · Rental | $162.18 | $208.93 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $125.89 Typical High $457.09 | Professional | None (both parts) | $64.57 | $125.89 | $457.09 |
United Setting Professional Modifier RR · Rental Typical Low $54.95 Median $81.28 Typical High $213.80 | Professional | RR · Rental | $54.95 | $81.28 | $213.80 |
United Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $346.74 Typical High $630.96 | Professional | UE · Used equipment | $338.84 | $346.74 | $630.96 |
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 $346.74 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $346.74 | $457.09 | $457.09 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $380.19 Median $1,698.24 Typical High $2,691.53 | Professional | 50 · Both sides | $380.19 | $1,698.24 | $2,691.53 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $125.89 Median $562.34 Typical High $912.01 | Professional | 51 · Multiple procedures | $125.89 | $562.34 | $912.01 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $50.12 Median $229.09 Typical High $363.08 | Professional | 80 · Assistant surgeon | $50.12 | $229.09 | $363.08 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $35.48 Median $158.49 Typical High $251.19 | Professional | 81 · Minimal assistant surgeon | $35.48 | $158.49 | $251.19 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $35.48 Median $158.49 Typical High $251.19 | Professional | 82 · Assistant surgeon, no resident | $35.48 | $158.49 | $251.19 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $35.48 Median $158.49 Typical High $251.19 | Professional | AS · PA/NP assist | $35.48 | $158.49 | $251.19 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $676.08 Typical High $691.83 | Professional | TC · Technical part | $524.81 | $676.08 | $691.83 |
Where South Carolina sits
The same service costs 10.0 times more in Minnesota 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· 17th of 51
$1,047
MN $1,514MT $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.