How much rates vary
Facilitymedian $347 · 10th to 90th $23 to $347Professionalmedian $58 · 10th to 90th $18 to $347
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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $263.03 | $346.74 | $346.74 |
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 $37.15 Median $38.90 Typical High $38.90 | Professional | RR · Rental | $37.15 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Facility Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $38.02 | Facility | RR · Rental | $30.90 | $30.90 | $38.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $691.83 | Professional | None (both parts) | $35.48 | $35.48 | $691.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.30 Median $26.30 Typical High $30.90 | Professional | RR · Rental | $26.30 | $26.30 | $30.90 |
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 $269.15 Typical High $363.08 | Facility | None | $22.91 | $269.15 | $363.08 |
Medcost Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $58.88 | Professional | None (both parts) | $33.11 | $33.11 | $58.88 |
Medcost Setting Professional Modifier RR · Rental Typical Low $28.18 Median $28.84 Typical High $38.90 | Professional | RR · Rental | $28.18 | $28.84 | $38.90 |
United Setting Professional Modifier None (both parts) Typical Low $17.38 Median $22.39 Typical High $26.92 | Professional | None (both parts) | $17.38 | $22.39 | $26.92 |
United Setting Professional Modifier RR · Rental Typical Low $15.49 Median $22.39 Typical High $26.30 | Professional | RR · Rental | $15.49 | $22.39 | $26.30 |
11 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 $194.98 Median $257.04 Typical High $257.04 | Professional | UE · Used equipment | $194.98 | $257.04 | $257.04 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $22.91 | Professional | 26 · Professional part | $13.18 | $13.18 | $22.91 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $48.98 Median $48.98 Typical High $89.13 | Professional | 50 · Both sides | $48.98 | $48.98 | $89.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $16.60 Median $16.60 Typical High $29.51 | Professional | 51 · Multiple procedures | $16.60 | $16.60 | $29.51 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.61 Median $6.61 Typical High $11.75 | Professional | 80 · Assistant surgeon | $6.61 | $6.61 | $11.75 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.57 Median $4.57 Typical High $8.32 | Professional | 81 · Minimal assistant surgeon | $4.57 | $4.57 | $8.32 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.57 Median $4.57 Typical High $8.32 | Professional | 82 · Assistant surgeon, no resident | $4.57 | $4.57 | $8.32 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.57 Median $4.57 Typical High $8.32 | Professional | AS · PA/NP assist | $4.57 | $4.57 | $8.32 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | SH · Second concurrent infusion | $29.51 | $29.51 | $29.51 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | SJ · Third+ concurrent infusion | $29.51 | $29.51 | $29.51 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $33.88 | Professional | TC · Technical part | $19.95 | $19.95 | $33.88 |
Where North Carolina sits
The same service costs 29.5 times more in Wyoming than in Oklahoma. 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· 31st of 51
$57.54
WY $676OK $22.91
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.