How much rates vary
Facilitymedian $72 · 10th to 90th $31 to $87Professionalmedian $79 · 10th to 90th $49 to $87
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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $56.23 | $72.44 | $72.44 |
BCBS North Carolina Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $102.33 | Facility | None | $85.11 | $85.11 | $102.33 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $79.43 Typical High $104.71 | Professional | None (both parts) | $75.86 | $79.43 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $83.18 | Professional | None (both parts) | $44.67 | $44.67 | $83.18 |
Medcost Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Medcost Setting Facility Modifier None Typical Low $30.90 Median $72.44 Typical High $87.10 | Facility | None | $30.90 | $72.44 | $87.10 |
Medcost Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $123.03 | Professional | None (both parts) | $77.62 | $77.62 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $51.29 Typical High $69.18 | Professional | None (both parts) | $35.48 | $51.29 | $69.18 |
10 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 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $69.18 | Professional | 26 · Professional part | $30.90 | $30.90 | $69.18 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $114.82 Median $114.82 Typical High $346.74 | Professional | 50 · Both sides | $114.82 | $114.82 | $346.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $38.90 Median $38.90 Typical High $114.82 | Professional | 51 · Multiple procedures | $38.90 | $38.90 | $114.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.49 Median $15.49 Typical High $46.77 | Professional | 80 · Assistant surgeon | $15.49 | $15.49 | $46.77 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.72 Median $10.72 Typical High $32.36 | Professional | 81 · Minimal assistant surgeon | $10.72 | $10.72 | $32.36 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.72 Median $10.72 Typical High $32.36 | Professional | 82 · Assistant surgeon, no resident | $10.72 | $10.72 | $32.36 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.72 Median $10.72 Typical High $32.36 | Professional | AS · PA/NP assist | $10.72 | $10.72 | $32.36 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | SH · Second concurrent infusion | $38.90 | $38.90 | $38.90 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | SJ · Third+ concurrent infusion | $38.90 | $38.90 | $38.90 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $102.33 | Professional | TC · Technical part | $46.77 | $46.77 | $102.33 |
Where North Carolina sits
The same service costs 2.3 times more in Montana than in New Mexico. 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· 18th of 51
$79.43
MT $110NM $47.86
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.