How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $89.13 | Professional | None | $30.20 | $30.20 | $89.13 |
Ambetter Setting Professional Modifier None Typical Low $50.12 Median $63.10 Typical High $63.10 | Professional | None | $50.12 | $63.10 | $63.10 |
BCBS North Carolina Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $109.65 | Professional | None | $50.12 | $50.12 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $60.26 | Facility | None | $44.67 | $44.67 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $60.26 Typical High $75.86 | Professional | None | $41.69 | $60.26 | $75.86 |
Medcost Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $34.67 | Facility | None | $30.20 | $30.20 | $34.67 |
Medcost Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $39.81 | Professional | None | $34.67 | $34.67 | $39.81 |
United Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $50.12 | Professional | None | $45.71 | $45.71 | $50.12 |
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 50 · Both sides Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 50 · Both sides | $52.48 | $52.48 | $52.48 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 51 · Multiple procedures | $17.38 | $17.38 | $17.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 80 · Assistant surgeon | $7.08 | $7.08 | $7.08 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | 81 · Minimal assistant surgeon | $4.90 | $4.90 | $4.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | 82 · Assistant surgeon, no resident | $4.90 | $4.90 | $4.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | AS · PA/NP assist | $4.90 | $4.90 | $4.90 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | SH · Second concurrent infusion | $17.38 | $17.38 | $17.38 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | SJ · Third+ concurrent infusion | $17.38 | $17.38 | $17.38 |
Where North Carolina sits
The same service costs 6.6 times more in Louisiana than in Wyoming. 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.
North Carolina· 36th of 51
$34.67
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.