How much rates vary
Facilitymedian $110 · 10th to 90th $107 to $1,349Professionalmedian $148 · 10th to 90th $89 to $1,349
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $1,023.29 | $1,348.96 | $1,348.96 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $141.25 Median $147.91 Typical High $199.53 | Professional | RR · Rental | $141.25 | $147.91 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $93.33 | $109.65 | $109.65 |
Cigna Setting Professional Modifier RR · Rental Typical Low $81.28 Median $109.65 Typical High $109.65 | Professional | RR · Rental | $81.28 | $109.65 | $109.65 |
Medcost Setting Professional Modifier RR · Rental Typical Low $89.13 Median $95.50 Typical High $134.90 | Professional | RR · Rental | $89.13 | $95.50 | $134.90 |
Medcost Setting Facility Modifier None Typical Low $107.15 Median $1,023.29 Typical High $1,445.44 | Facility | None | $107.15 | $1,023.29 | $1,445.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $147.91 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $147.91 | $501.19 | $501.19 |
Medcost Setting Professional Modifier RR · Rental Typical Low $50.12 Median $50.12 Typical High $229.09 | Professional | RR · Rental | $50.12 | $50.12 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $776.25 | Professional | None (both parts) | $75.86 | $97.72 | $776.25 |
United Setting Professional Modifier RR · Rental Typical Low $57.54 Median $93.33 Typical High $114.82 | Professional | RR · Rental | $57.54 | $93.33 | $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 $776.25 Median $1,023.29 Typical High $1,023.29 | Professional | UE · Used equipment | $776.25 | $1,023.29 | $1,023.29 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | 26 · Professional part | $58.88 | $58.88 | $60.26 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $218.78 Median $758.58 Typical High $758.58 | Professional | 50 · Both sides | $218.78 | $758.58 | $758.58 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $74.13 Median $251.19 Typical High $251.19 | Professional | 51 · Multiple procedures | $74.13 | $251.19 | $251.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $29.51 Median $100.00 Typical High $100.00 | Professional | 80 · Assistant surgeon | $29.51 | $100.00 | $100.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $20.42 Median $70.79 Typical High $70.79 | Professional | 81 · Minimal assistant surgeon | $20.42 | $70.79 | $70.79 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $20.42 Median $70.79 Typical High $70.79 | Professional | 82 · Assistant surgeon, no resident | $20.42 | $70.79 | $70.79 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $20.42 Median $70.79 Typical High $70.79 | Professional | AS · PA/NP assist | $20.42 | $70.79 | $70.79 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $74.13 Median $251.19 Typical High $251.19 | Professional | SH · Second concurrent infusion | $74.13 | $251.19 | $251.19 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $74.13 Median $251.19 Typical High $251.19 | Professional | SJ · Third+ concurrent infusion | $74.13 | $251.19 | $251.19 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $89.13 | $89.13 | $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· 40th of 51
$148
ND $1,995FL $93.33
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.