How much rates vary
Facilitymedian $851 · 10th to 90th $107 to $1,000Professionalmedian $891 · 10th to 90th $148 to $3,236
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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $1,000.00 | Professional | None (both parts) | $794.33 | $794.33 | $1,000.00 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $588.84 Typical High $758.58 | Professional | UE · Used equipment | $588.84 | $588.84 | $758.58 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $173.78 Median $190.55 Typical High $190.55 | Facility | RR · Rental | $173.78 | $190.55 | $190.55 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $3,235.94 Typical High $3,388.44 | Professional | None (both parts) | $3,235.94 | $3,235.94 | $3,388.44 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $190.55 Median $323.59 Typical High $323.59 | Professional | RR · Rental | $190.55 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $851.14 | Professional | None (both parts) | $724.44 | $724.44 | $851.14 |
Cigna Setting Professional Modifier RR · Rental Typical Low $72.44 Median $72.44 Typical High $85.11 | Professional | RR · Rental | $72.44 | $72.44 | $85.11 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | UE · Used equipment | $537.03 | $537.03 | $537.03 |
Medcost Setting Professional Modifier RR · Rental Typical Low $151.36 Median $218.78 Typical High $371.54 | Professional | RR · Rental | $151.36 | $218.78 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $107.15 Median $794.33 Typical High $1,023.29 | Facility | None | $107.15 | $794.33 | $1,023.29 |
Medcost Setting Professional Modifier None (both parts) Typical Low $239.88 Median $891.25 Typical High $1,318.26 | Professional | None (both parts) | $239.88 | $891.25 | $1,318.26 |
Medcost Setting Professional Modifier RR · Rental Typical Low $138.04 Median $190.55 Typical High $204.17 | Professional | RR · Rental | $138.04 | $190.55 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $114.82 Typical High $354.81 | Professional | None (both parts) | $66.07 | $114.82 | $354.81 |
United Setting Professional Modifier RR · Rental Typical Low $45.71 Median $67.61 Typical High $194.98 | Professional | RR · Rental | $45.71 | $67.61 | $194.98 |
United Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $269.15 Typical High $489.78 | Professional | UE · Used equipment | $263.03 | $269.15 | $489.78 |
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 $275.42 Median $354.81 Typical High $354.81 | Professional | 26 · Professional part | $275.42 | $354.81 | $354.81 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $363.08 Median $1,318.26 Typical High $2,137.96 | Professional | 50 · Both sides | $363.08 | $1,318.26 | $2,137.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $120.23 Median $446.68 Typical High $707.95 | Professional | 51 · Multiple procedures | $120.23 | $446.68 | $707.95 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $47.86 Median $177.83 Typical High $281.84 | Professional | 80 · Assistant surgeon | $47.86 | $177.83 | $281.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.88 Median $123.03 Typical High $199.53 | Professional | 81 · Minimal assistant surgeon | $33.88 | $123.03 | $199.53 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.88 Median $123.03 Typical High $199.53 | Professional | 82 · Assistant surgeon, no resident | $33.88 | $123.03 | $199.53 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.88 Median $123.03 Typical High $199.53 | Professional | AS · PA/NP assist | $33.88 | $123.03 | $199.53 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $524.81 Typical High $537.03 | Professional | TC · Technical part | $407.38 | $524.81 | $537.03 |
Where South Carolina sits
The same service costs 11.5 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· 15th of 51
$891
MN $1,230MT $107
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.