How much rates vary
Facilitymedian $178 · 10th to 90th $93 to $1,175Professionalmedian $933 · 10th to 90th $123 to $1,175
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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $954.99 | $1,174.90 | $1,174.90 |
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 $158.49 Median $162.18 Typical High $162.18 | Professional | RR · Rental | $158.49 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $97.72 | Facility | None | $93.33 | $93.33 | $97.72 |
Cigna Setting Facility Modifier RR · Rental Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | RR · Rental | $93.33 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $933.25 | Professional | None (both parts) | $794.33 | $794.33 | $933.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $93.33 | Professional | RR · Rental | $79.43 | $79.43 | $93.33 |
Medcost Setting Professional Modifier RR · Rental Typical Low $162.18 Median $162.18 Typical High $234.42 | Professional | RR · Rental | $162.18 | $162.18 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $1,047.13 Typical High $1,288.25 | Facility | None | $131.83 | $1,047.13 | $1,288.25 |
Medcost Setting Professional Modifier None (both parts) Typical Low $251.19 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $251.19 | $1,148.15 | $1,148.15 |
Medcost Setting Professional Modifier RR · Rental Typical Low $138.04 Median $204.17 Typical High $213.80 | Professional | RR · Rental | $138.04 | $204.17 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $125.89 Typical High $457.09 | Professional | None (both parts) | $66.07 | $125.89 | $457.09 |
United Setting Professional Modifier RR · Rental Typical Low $52.48 Median $81.28 Typical High $165.96 | Professional | RR · Rental | $52.48 | $81.28 | $165.96 |
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 $707.95 Median $891.25 Typical High $891.25 | Professional | UE · Used equipment | $707.95 | $891.25 | $891.25 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | UE · Used equipment | $602.56 | $602.56 | $602.56 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $100.00 | $457.09 | $457.09 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $380.19 Median $1,737.80 Typical High $1,737.80 | Professional | 50 · Both sides | $380.19 | $1,737.80 | $1,737.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $125.89 Median $575.44 Typical High $575.44 | Professional | 51 · Multiple procedures | $125.89 | $575.44 | $575.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $50.12 Median $229.09 Typical High $229.09 | Professional | 80 · Assistant surgeon | $50.12 | $229.09 | $229.09 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $35.48 Median $162.18 Typical High $162.18 | Professional | 81 · Minimal assistant surgeon | $35.48 | $162.18 | $162.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $35.48 Median $162.18 Typical High $162.18 | Professional | 82 · Assistant surgeon, no resident | $35.48 | $162.18 | $162.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $35.48 Median $162.18 Typical High $162.18 | Professional | AS · PA/NP assist | $35.48 | $162.18 | $162.18 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $125.89 Median $1,071.52 Typical High $1,071.52 | Professional | SH · Second concurrent infusion | $125.89 | $1,071.52 | $1,071.52 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $125.89 Median $1,071.52 Typical High $1,071.52 | Professional | SJ · Third+ concurrent infusion | $125.89 | $1,071.52 | $1,071.52 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $691.83 Typical High $691.83 | Professional | TC · Technical part | $151.36 | $691.83 | $691.83 |
United Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $346.74 Typical High $616.60 | Professional | UE · Used equipment | $346.74 | $346.74 | $616.60 |
Where North Carolina sits
The same service costs 10.0 times more in Minnesota than in Montana. 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· 27th of 51
$933
MN $1,514MT $151
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.