How much rates vary
Facilitymedian $10,715 · 10th to 90th $4,266 to $12,023Professionalmedian $8,511 · 10th to 90th $5,623 to $11,220
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 $10,715.19 Median $10,715.19 Typical High $10,715.19 | Facility | None | $10,715.19 | $10,715.19 | $10,715.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $8,511.38 Median $10,715.19 Typical High $10,715.19 | Professional | None (both parts) | $8,511.38 | $10,715.19 | $10,715.19 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $6,456.54 Median $8,128.31 Typical High $8,128.31 | Professional | UE · Used equipment | $6,456.54 | $8,128.31 | $8,128.31 |
BCBS North Carolina Setting Facility Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $15,488.17 | Facility | None | $12,882.50 | $12,882.50 | $15,488.17 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $1,122.02 Median $1,174.90 Typical High $1,584.89 | Professional | RR · Rental | $1,122.02 | $1,174.90 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $10,715.19 Median $11,220.18 Typical High $11,220.18 | Professional | None (both parts) | $10,715.19 | $11,220.18 | $11,220.18 |
Cigna Setting Professional Modifier RR · Rental Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | RR · Rental | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | UE · Used equipment | $8,317.64 | $8,317.64 | $8,317.64 |
Medcost Setting Professional Modifier None Typical Low $7,244.36 Median $7,762.47 Typical High $10,715.19 | Professional | None | $7,244.36 | $7,762.47 | $10,715.19 |
Medcost Setting Facility Modifier None Typical Low $4,265.80 Median $10,715.19 Typical High $11,481.54 | Facility | None | $4,265.80 | $10,715.19 | $11,481.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $7,762.47 Median $11,220.18 Typical High $12,882.50 | Professional | None (both parts) | $7,762.47 | $11,220.18 | $12,882.50 |
Medcost Setting Professional Modifier RR · Rental Typical Low $776.25 Median $1,122.02 Typical High $1,445.44 | Professional | RR · Rental | $776.25 | $1,122.02 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $4,466.84 Median $6,309.57 Typical High $8,912.51 | Professional | None (both parts) | $4,466.84 | $6,309.57 | $8,912.51 |
United Setting Professional Modifier RR · Rental Typical Low $512.86 Median $741.31 Typical High $954.99 | Professional | RR · Rental | $512.86 | $741.31 | $954.99 |
United Setting Professional Modifier UE · Used equipment Typical Low $3,311.31 Median $4,677.35 Typical High $6,606.93 | Professional | UE · Used equipment | $3,311.31 | $4,677.35 | $6,606.93 |
10 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 $3,162.28 Median $4,570.88 Typical High $8,317.64 | Professional | 26 · Professional part | $3,162.28 | $4,570.88 | $8,317.64 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $11,748.98 Median $16,982.44 Typical High $41,686.94 | Professional | 50 · Both sides | $11,748.98 | $16,982.44 | $41,686.94 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $3,890.45 Median $5,623.41 Typical High $13,803.84 | Professional | 51 · Multiple procedures | $3,890.45 | $5,623.41 | $13,803.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1,584.89 Median $2,238.72 Typical High $5,495.41 | Professional | 80 · Assistant surgeon | $1,584.89 | $2,238.72 | $5,495.41 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1,096.48 Median $1,584.89 Typical High $3,890.45 | Professional | 81 · Minimal assistant surgeon | $1,096.48 | $1,584.89 | $3,890.45 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1,096.48 Median $1,584.89 Typical High $3,890.45 | Professional | 82 · Assistant surgeon, no resident | $1,096.48 | $1,584.89 | $3,890.45 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1,096.48 Median $1,584.89 Typical High $3,890.45 | Professional | AS · PA/NP assist | $1,096.48 | $1,584.89 | $3,890.45 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | SH · Second concurrent infusion | $5,623.41 | $5,623.41 | $5,623.41 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Professional | SJ · Third+ concurrent infusion | $5,623.41 | $5,623.41 | $5,623.41 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $4,677.35 Median $6,760.83 Typical High $12,589.25 | Professional | TC · Technical part | $4,677.35 | $6,760.83 | $12,589.25 |
Where North Carolina sits
The same service costs 8.3 times more in North Dakota than in Washington. 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· 30th of 51
$8,913
ND $17,783WA $2,138
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.