How much rates vary
Facilitymedian $513 · 10th to 90th $93 to $646Professionalmedian $513 · 10th to 90th $316 to $661
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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $549.54 | Professional | None (both parts) | $512.86 | $512.86 | $549.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $380.19 Typical High $407.38 | Professional | UE · Used equipment | $380.19 | $380.19 | $407.38 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $85.11 Median $93.33 Typical High $93.33 | Facility | RR · Rental | $85.11 | $93.33 | $93.33 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | RR · Rental | $93.33 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
Cigna Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | RR · Rental | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | UE · Used equipment | $501.19 | $501.19 | $501.19 |
Medcost Setting Facility Modifier None Typical Low $93.33 Median $512.86 Typical High $645.65 | Facility | None | $93.33 | $512.86 | $645.65 |
Medcost Setting Professional Modifier None (both parts) Typical Low $562.34 Median $575.44 Typical High $776.25 | Professional | None (both parts) | $562.34 | $575.44 | $776.25 |
Medcost Setting Professional Modifier RR · Rental Typical Low $70.79 Median $70.79 Typical High $131.83 | Professional | RR · Rental | $70.79 | $70.79 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $354.81 Typical High $524.81 | Professional | None (both parts) | $263.03 | $354.81 | $524.81 |
United Setting Professional Modifier RR · Rental Typical Low $30.90 Median $43.65 Typical High $58.88 | Professional | RR · Rental | $30.90 | $43.65 | $58.88 |
United Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $263.03 Typical High $371.54 | Professional | UE · Used equipment | $199.53 | $263.03 | $371.54 |
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 $229.09 Median $229.09 Typical High $501.19 | Professional | 26 · Professional part | $229.09 | $229.09 | $501.19 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $851.14 Median $870.96 Typical High $1,584.89 | Professional | 50 · Both sides | $851.14 | $870.96 | $1,584.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $281.84 Median $288.40 Typical High $524.81 | Professional | 51 · Multiple procedures | $281.84 | $288.40 | $524.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $112.20 Median $114.82 Typical High $208.93 | Professional | 80 · Assistant surgeon | $112.20 | $114.82 | $208.93 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $79.43 Median $81.28 Typical High $147.91 | Professional | 81 · Minimal assistant surgeon | $79.43 | $81.28 | $147.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $79.43 Median $81.28 Typical High $147.91 | Professional | 82 · Assistant surgeon, no resident | $79.43 | $81.28 | $147.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $79.43 Median $81.28 Typical High $147.91 | Professional | AS · PA/NP assist | $79.43 | $81.28 | $147.91 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $346.74 Typical High $741.31 | Professional | TC · Technical part | $338.84 | $346.74 | $741.31 |
Where South Carolina sits
The same service costs 3.2 times more in North Dakota than in Mississippi. 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· 42nd of 51
$513
ND $1,047MS $324
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.