How much rates vary
Facilitymedian $3,715 · 10th to 90th $295 to $3,715Professionalmedian $501 · 10th to 90th $209 to $3,715
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 $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $3,715.35 Typical High $3,715.35 | Professional | None (both parts) | $2,884.03 | $3,715.35 | $3,715.35 |
BCBS North Carolina Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $524.81 | Facility | None | $446.68 | $446.68 | $524.81 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $398.11 Median $407.38 Typical High $407.38 | Professional | RR · Rental | $398.11 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None (both parts) | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | RR · Rental | $223.87 | $223.87 | $223.87 |
Medcost Setting Professional Modifier RR · Rental Typical Low $234.42 Median $251.19 Typical High $380.19 | Professional | RR · Rental | $234.42 | $251.19 | $380.19 |
Medcost Setting Facility Modifier None Typical Low $295.12 Median $2,818.38 Typical High $3,981.07 | Facility | None | $295.12 | $2,818.38 | $3,981.07 |
Medcost Setting Professional Modifier None (both parts) Typical Low $141.25 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $141.25 | $501.19 | $501.19 |
Medcost Setting Professional Modifier RR · Rental Typical Low $50.12 Median $50.12 Typical High $630.96 | Professional | RR · Rental | $50.12 | $50.12 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $269.15 Typical High $2,238.72 | Professional | None (both parts) | $190.55 | $269.15 | $2,238.72 |
United Setting Professional Modifier RR · Rental Typical Low $177.83 Median $263.03 Typical High $316.23 | Professional | RR · Rental | $177.83 | $263.03 | $316.23 |
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 $2,187.76 Median $2,818.38 Typical High $2,818.38 | Professional | UE · Used equipment | $2,187.76 | $2,818.38 | $2,818.38 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $56.23 | $162.18 | $162.18 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $208.93 Median $758.58 Typical High $758.58 | Professional | 50 · Both sides | $208.93 | $758.58 | $758.58 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $70.79 Median $251.19 Typical High $251.19 | Professional | 51 · Multiple procedures | $70.79 | $251.19 | $251.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $28.18 Median $100.00 Typical High $100.00 | Professional | 80 · Assistant surgeon | $28.18 | $100.00 | $100.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.50 Median $70.79 Typical High $70.79 | Professional | 81 · Minimal assistant surgeon | $19.50 | $70.79 | $70.79 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.50 Median $70.79 Typical High $70.79 | Professional | 82 · Assistant surgeon, no resident | $19.50 | $70.79 | $70.79 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.50 Median $70.79 Typical High $70.79 | Professional | AS · PA/NP assist | $19.50 | $70.79 | $70.79 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $199.53 Median $251.19 Typical High $251.19 | Professional | SH · Second concurrent infusion | $199.53 | $251.19 | $251.19 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $199.53 Median $251.19 Typical High $251.19 | Professional | SJ · Third+ concurrent infusion | $199.53 | $251.19 | $251.19 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $83.18 | $239.88 | $239.88 |
Where North Carolina sits
The same service costs 17.0 times more in North Dakota than in Oklahoma. 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· 46th of 51
$550
ND $5,623OK $331
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.