How much rates vary
Facilitymedian $107 · 10th to 90th $105 to $1,318Professionalmedian $145 · 10th to 90th $89 to $1,318
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 $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $1,023.29 | $1,318.26 | $1,318.26 |
BCBS North Carolina Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $190.55 | Facility | None | $158.49 | $158.49 | $190.55 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $141.25 Median $144.54 Typical High $194.98 | Professional | RR · Rental | $141.25 | $144.54 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $91.20 | $107.15 | $107.15 |
Cigna Setting Professional Modifier RR · Rental Typical Low $79.43 Median $107.15 Typical High $107.15 | Professional | RR · Rental | $79.43 | $107.15 | $107.15 |
Medcost Setting Professional Modifier RR · Rental Typical Low $87.10 Median $93.33 Typical High $131.83 | Professional | RR · Rental | $87.10 | $93.33 | $131.83 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $1,023.29 Typical High $1,412.54 | Facility | None | $104.71 | $1,023.29 | $1,412.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $144.54 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $144.54 | $281.84 | $281.84 |
Medcost Setting Professional Modifier RR · Rental Typical Low $28.18 Median $28.18 Typical High $223.87 | Professional | RR · Rental | $28.18 | $28.18 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $95.50 Typical High $794.33 | Professional | None (both parts) | $67.61 | $95.50 | $794.33 |
United Setting Professional Modifier RR · Rental Typical Low $63.10 Median $91.20 Typical High $114.82 | Professional | RR · Rental | $63.10 | $91.20 | $114.82 |
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 $758.58 Median $1,000.00 Typical High $1,000.00 | Professional | UE · Used equipment | $758.58 | $1,000.00 | $1,000.00 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $58.88 | Professional | 26 · Professional part | $57.54 | $57.54 | $58.88 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $213.80 Median $416.87 Typical High $416.87 | Professional | 50 · Both sides | $213.80 | $416.87 | $416.87 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $72.44 Median $141.25 Typical High $141.25 | Professional | 51 · Multiple procedures | $72.44 | $141.25 | $141.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $28.84 Median $56.23 Typical High $56.23 | Professional | 80 · Assistant surgeon | $28.84 | $56.23 | $56.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.95 Median $38.90 Typical High $38.90 | Professional | 81 · Minimal assistant surgeon | $19.95 | $38.90 | $38.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.95 Median $38.90 Typical High $38.90 | Professional | 82 · Assistant surgeon, no resident | $19.95 | $38.90 | $38.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.95 Median $38.90 Typical High $38.90 | Professional | AS · PA/NP assist | $19.95 | $38.90 | $38.90 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $72.44 Median $141.25 Typical High $141.25 | Professional | SH · Second concurrent infusion | $72.44 | $141.25 | $141.25 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $72.44 Median $141.25 Typical High $141.25 | Professional | SJ · Third+ concurrent infusion | $72.44 | $141.25 | $141.25 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $89.13 | Professional | TC · Technical part | $87.10 | $87.10 | $89.13 |
Where North Carolina sits
The same service costs 21.4 times more in North Dakota than in Florida. 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
$145
ND $1,950FL $91.20
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.