How much rates vary
Facilitymedian $23 · 10th to 90th $15 to $178Professionalmedian $126 · 10th to 90th $18 to $191
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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $141.25 | $177.83 | $177.83 |
Aetna Setting Professional Modifier RR · Rental Typical Low $10.00 Median $14.45 Typical High $40.74 | Professional | RR · Rental | $10.00 | $14.45 | $40.74 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $22.39 Median $22.39 Typical High $23.99 | Professional | RR · Rental | $22.39 | $22.39 | $23.99 |
BCBS North Carolina Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $38.02 | Facility | None | $31.62 | $31.62 | $38.02 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $79.43 | Professional | None (both parts) | $70.79 | $70.79 | $79.43 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $22.91 Median $23.99 Typical High $23.99 | Professional | RR · Rental | $22.91 | $23.99 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $15.49 | Facility | None | $14.79 | $14.79 | $15.49 |
Cigna Setting Facility Modifier RR · Rental Typical Low $14.79 Median $14.79 Typical High $25.12 | Facility | RR · Rental | $14.79 | $14.79 | $25.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $147.91 | Professional | None (both parts) | $107.15 | $125.89 | $147.91 |
Cigna Setting Professional Modifier RR · Rental Typical Low $12.59 Median $12.59 Typical High $14.79 | Professional | RR · Rental | $12.59 | $12.59 | $14.79 |
Medcost Setting Professional Modifier RR · Rental Typical Low $22.39 Median $22.39 Typical High $30.90 | Professional | RR · Rental | $22.39 | $22.39 | $30.90 |
Medcost Setting Facility Modifier None Typical Low $22.91 Median $144.54 Typical High $177.83 | Facility | None | $22.91 | $144.54 | $177.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $33.11 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $33.11 | $131.83 | $190.55 |
Medcost Setting Professional Modifier RR · Rental Typical Low $20.89 Median $28.18 Typical High $28.84 | Professional | RR · Rental | $20.89 | $28.18 | $28.84 |
United Setting Professional Modifier None (both parts) Typical Low $9.77 Median $17.78 Typical High $75.86 | Professional | None (both parts) | $9.77 | $17.78 | $75.86 |
United Setting Professional Modifier RR · Rental Typical Low $8.32 Median $14.45 Typical High $22.91 | Professional | RR · Rental | $8.32 | $14.45 | $22.91 |
13 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $104.71 Median $134.90 Typical High $134.90 | Professional | UE · Used equipment | $104.71 | $134.90 | $134.90 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | UE · Used equipment | $93.33 | $93.33 | $93.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $13.18 | $44.67 | $75.86 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $48.98 Median $199.53 Typical High $281.84 | Professional | 50 · Both sides | $48.98 | $199.53 | $281.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $16.60 Median $66.07 Typical High $95.50 | Professional | 51 · Multiple procedures | $16.60 | $66.07 | $95.50 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.61 Median $26.30 Typical High $38.02 | Professional | 80 · Assistant surgeon | $6.61 | $26.30 | $38.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.57 Median $18.62 Typical High $26.30 | Professional | 81 · Minimal assistant surgeon | $4.57 | $18.62 | $26.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.57 Median $18.62 Typical High $26.30 | Professional | 82 · Assistant surgeon, no resident | $4.57 | $18.62 | $26.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.57 Median $18.62 Typical High $26.30 | Professional | AS · PA/NP assist | $4.57 | $18.62 | $26.30 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $13.18 Median $16.60 Typical High $16.60 | Professional | SH · Second concurrent infusion | $13.18 | $16.60 | $16.60 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $13.18 Median $16.60 Typical High $16.60 | Professional | SJ · Third+ concurrent infusion | $13.18 | $16.60 | $16.60 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $67.61 Typical High $112.20 | Professional | TC · Technical part | $19.95 | $67.61 | $112.20 |
United Setting Professional Modifier UE · Used equipment Typical Low $56.23 Median $56.23 Typical High $100.00 | Professional | UE · Used equipment | $56.23 | $56.23 | $100.00 |
Where North Carolina sits
The same service costs 12.3 times more in Wyoming than in Illinois. 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· 19th of 51
$126
WY $302IL $24.55
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.