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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $67.61 Typical High $67.61 | Professional | None | $58.88 | $67.61 | $67.61 |
BCBS North Carolina Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None | $30.90 | $30.90 | $30.90 |
Medcost Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $81.28 | Facility | None | $67.61 | $67.61 | $81.28 |
Medcost Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
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 $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 50 · Both sides | $1,023.29 | $1,023.29 | $1,023.29 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 51 · Multiple procedures | $338.84 | $338.84 | $338.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 80 · Assistant surgeon | $134.90 | $134.90 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 81 · Minimal assistant surgeon | $95.50 | $95.50 | $95.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 82 · Assistant surgeon, no resident | $95.50 | $95.50 | $95.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | AS · PA/NP assist | $95.50 | $95.50 | $95.50 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | SH · Second concurrent infusion | $338.84 | $338.84 | $338.84 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | SJ · Third+ concurrent infusion | $338.84 | $338.84 | $338.84 |
Where North Carolina sits
The same service costs 51.3 times more in Arkansas than in Connecticut. 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· 12th of 51
$67.61
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.