How much rates vary
Facilitymedian $933 · 10th to 90th $98 to $933Professionalmedian $562 · 10th to 90th $62 to $933
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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $724.44 | $933.25 | $933.25 |
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 $128.82 Median $131.83 Typical High $131.83 | Professional | RR · Rental | $128.82 | $131.83 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Cigna Setting Facility Modifier RR · Rental Typical Low $67.61 Median $67.61 Typical High $95.50 | Facility | RR · Rental | $67.61 | $67.61 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $5,128.61 | Professional | None (both parts) | $72.44 | $72.44 | $5,128.61 |
Cigna Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $67.61 | Professional | RR · Rental | $57.54 | $57.54 | $67.61 |
Medcost Setting Professional Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $199.53 | Professional | RR · Rental | $138.04 | $138.04 | $199.53 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $891.25 Typical High $977.24 | Facility | None | $97.72 | $891.25 | $977.24 |
Medcost Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $2,754.23 | Professional | None (both parts) | $218.78 | $218.78 | $2,754.23 |
Medcost Setting Professional Modifier RR · Rental Typical Low $75.86 Median $107.15 Typical High $173.78 | Professional | RR · Rental | $75.86 | $107.15 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $77.62 Typical High $141.25 | Professional | None (both parts) | $41.69 | $77.62 | $141.25 |
United Setting Professional Modifier RR · Rental Typical Low $50.12 Median $104.71 Typical High $141.25 | Professional | RR · Rental | $50.12 | $104.71 | $141.25 |
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 $549.54 Median $691.83 Typical High $691.83 | Professional | UE · Used equipment | $549.54 | $691.83 | $691.83 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $87.10 | $87.10 | $87.10 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $331.13 Median $331.13 Typical High $4,073.80 | Professional | 50 · Both sides | $331.13 | $331.13 | $4,073.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $109.65 Median $109.65 Typical High $1,380.38 | Professional | 51 · Multiple procedures | $109.65 | $109.65 | $1,380.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $43.65 Median $43.65 Typical High $549.54 | Professional | 80 · Assistant surgeon | $43.65 | $43.65 | $549.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.90 Median $30.90 Typical High $380.19 | Professional | 81 · Minimal assistant surgeon | $30.90 | $30.90 | $380.19 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.90 Median $30.90 Typical High $380.19 | Professional | 82 · Assistant surgeon, no resident | $30.90 | $30.90 | $380.19 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.90 Median $30.90 Typical High $380.19 | Professional | AS · PA/NP assist | $30.90 | $30.90 | $380.19 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | SH · Second concurrent infusion | $1,380.38 | $1,380.38 | $1,380.38 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | SJ · Third+ concurrent infusion | $1,380.38 | $1,380.38 | $1,380.38 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $131.83 | $131.83 | $131.83 |
Where North Carolina sits
The same service costs 22.4 times more in Alaska 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· 23rd of 51
$562
AK $1,349OK $60.26
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.