How much rates vary
Facilitymedian $851 · 10th to 90th $170 to $1,000Professionalmedian $851 · 10th to 90th $85 to $1,000
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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $794.33 | $1,000.00 | $1,000.00 |
BCBS North Carolina Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $251.19 | Facility | None | $208.93 | $208.93 | $251.19 |
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 $138.04 Median $144.54 Typical High $144.54 | Professional | RR · Rental | $138.04 | $144.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Facility Modifier RR · Rental Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | RR · Rental | $85.11 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $851.14 | Professional | None (both parts) | $724.44 | $724.44 | $851.14 |
Cigna Setting Professional Modifier RR · Rental Typical Low $72.44 Median $72.44 Typical High $85.11 | Professional | RR · Rental | $72.44 | $72.44 | $85.11 |
Medcost Setting Professional Modifier RR · Rental Typical Low $151.36 Median $151.36 Typical High $218.78 | Professional | RR · Rental | $151.36 | $151.36 | $218.78 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $977.24 Typical High $1,071.52 | Facility | None | $104.71 | $977.24 | $1,071.52 |
Medcost Setting Professional Modifier None (both parts) Typical Low $239.88 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $239.88 | $891.25 | $891.25 |
Medcost Setting Professional Modifier RR · Rental Typical Low $117.49 Median $190.55 Typical High $204.17 | Professional | RR · Rental | $117.49 | $190.55 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $114.82 Typical High $354.81 | Professional | None (both parts) | $66.07 | $114.82 | $354.81 |
United Setting Professional Modifier RR · Rental Typical Low $40.74 Median $114.82 Typical High $154.88 | Professional | RR · Rental | $40.74 | $114.82 | $154.88 |
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 $588.84 Median $758.58 Typical High $758.58 | Professional | UE · Used equipment | $588.84 | $758.58 | $758.58 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | UE · Used equipment | $537.03 | $537.03 | $537.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $354.81 Typical High $354.81 | Professional | 26 · Professional part | $95.50 | $354.81 | $354.81 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $363.08 Median $1,348.96 Typical High $1,348.96 | Professional | 50 · Both sides | $363.08 | $1,348.96 | $1,348.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $120.23 Median $446.68 Typical High $446.68 | Professional | 51 · Multiple procedures | $120.23 | $446.68 | $446.68 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $47.86 Median $177.83 Typical High $177.83 | Professional | 80 · Assistant surgeon | $47.86 | $177.83 | $177.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.88 Median $125.89 Typical High $125.89 | Professional | 81 · Minimal assistant surgeon | $33.88 | $125.89 | $125.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.88 Median $125.89 Typical High $125.89 | Professional | 82 · Assistant surgeon, no resident | $33.88 | $125.89 | $125.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.88 Median $125.89 Typical High $125.89 | Professional | AS · PA/NP assist | $33.88 | $125.89 | $125.89 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $120.23 Median $1,023.29 Typical High $1,023.29 | Professional | SH · Second concurrent infusion | $120.23 | $1,023.29 | $1,023.29 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $120.23 Median $1,023.29 Typical High $1,023.29 | Professional | SJ · Third+ concurrent infusion | $120.23 | $1,023.29 | $1,023.29 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $537.03 Typical High $537.03 | Professional | TC · Technical part | $144.54 | $537.03 | $537.03 |
United Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $269.15 Typical High $478.63 | Professional | UE · Used equipment | $269.15 | $269.15 | $478.63 |
Where North Carolina sits
The same service costs 11.5 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· 19th of 51
$851
MN $1,230MT $107
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.