How much rates vary
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 $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $3,715.35 | Professional | None | $338.84 | $338.84 | $3,715.35 |
Ambetter Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
BCBS North Carolina Setting Professional Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,630.78 | $3,630.78 | $3,630.78 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $416.87 | Facility | None | $407.38 | $407.38 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $416.87 | Professional | None | $407.38 | $407.38 | $416.87 |
Medcost Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $954.99 | Facility | None | $338.84 | $338.84 | $954.99 |
Medcost Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None | $954.99 | $954.99 | $954.99 |
8 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | 50 · Both sides | $1,412.54 | $1,412.54 | $1,412.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | 51 · Multiple procedures | $478.63 | $478.63 | $478.63 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 80 · Assistant surgeon | $190.55 | $190.55 | $190.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 81 · Minimal assistant surgeon | $131.83 | $131.83 | $131.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 82 · Assistant surgeon, no resident | $131.83 | $131.83 | $131.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | AS · PA/NP assist | $131.83 | $131.83 | $131.83 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | SH · Second concurrent infusion | $478.63 | $478.63 | $478.63 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | SJ · Third+ concurrent infusion | $478.63 | $478.63 | $478.63 |
Where North Carolina sits
The same service costs 28.8 times more in Oklahoma than in Virginia. 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· 22nd of 51
$407
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.