How much rates vary
Facilitymedian $100 · 10th to 90th $83 to $1,047Professionalmedian $129 · 10th to 90th $71 to $1,047
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $891.25 | $1,047.13 | $1,047.13 |
BCBS North Carolina Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $147.91 | Facility | None | $123.03 | $123.03 | $147.91 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $109.65 Median $114.82 Typical High $151.36 | Professional | RR · Rental | $109.65 | $114.82 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $85.11 | $100.00 | $100.00 |
Cigna Setting Professional Modifier RR · Rental Typical Low $74.13 Median $100.00 Typical High $100.00 | Professional | RR · Rental | $74.13 | $100.00 | $100.00 |
Medcost Setting Professional Modifier RR · Rental Typical Low $69.18 Median $75.86 Typical High $125.89 | Professional | RR · Rental | $69.18 | $75.86 | $125.89 |
Medcost Setting Facility Modifier None Typical Low $83.18 Median $977.24 Typical High $1,122.02 | Facility | None | $83.18 | $977.24 | $1,122.02 |
Medcost Setting Professional Modifier None (both parts) Typical Low $112.20 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $112.20 | $977.24 | $977.24 |
Medcost Setting Professional Modifier RR · Rental Typical Low $97.72 Median $97.72 Typical High $177.83 | Professional | RR · Rental | $97.72 | $97.72 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $77.62 Typical High $851.14 | Professional | None (both parts) | $50.12 | $77.62 | $851.14 |
United Setting Professional Modifier RR · Rental Typical Low $57.54 Median $74.13 Typical High $97.72 | Professional | RR · Rental | $57.54 | $74.13 | $97.72 |
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 $691.83 Median $794.33 Typical High $794.33 | Professional | UE · Used equipment | $691.83 | $794.33 | $794.33 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $47.86 | Professional | 26 · Professional part | $45.71 | $45.71 | $47.86 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $169.82 Median $1,445.44 Typical High $1,445.44 | Professional | 50 · Both sides | $169.82 | $1,445.44 | $1,445.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $56.23 Median $489.78 Typical High $489.78 | Professional | 51 · Multiple procedures | $56.23 | $489.78 | $489.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.39 Median $194.98 Typical High $194.98 | Professional | 80 · Assistant surgeon | $22.39 | $194.98 | $194.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.85 Median $134.90 Typical High $134.90 | Professional | 81 · Minimal assistant surgeon | $15.85 | $134.90 | $134.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.85 Median $134.90 Typical High $134.90 | Professional | 82 · Assistant surgeon, no resident | $15.85 | $134.90 | $134.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.85 Median $134.90 Typical High $134.90 | Professional | AS · PA/NP assist | $15.85 | $134.90 | $134.90 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $56.23 Median $489.78 Typical High $489.78 | Professional | SH · Second concurrent infusion | $56.23 | $489.78 | $489.78 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $56.23 Median $489.78 Typical High $489.78 | Professional | SJ · Third+ concurrent infusion | $56.23 | $489.78 | $489.78 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $72.44 | Professional | TC · Technical part | $67.61 | $67.61 | $72.44 |
Where North Carolina sits
The same service costs 22.9 times more in North Dakota than in Delaware. 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· 41st of 51
$120
ND $1,950DE $85.11
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.