How much rates vary
Facilitymedian $115 · 10th to 90th $46 to $151Professionalmedian $132 · 10th to 90th $81 to $151
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 $151.36 Median $151.36 Typical High $177.83 | Facility | None | $151.36 | $151.36 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $77.62 | $151.36 | $151.36 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $141.25 | Professional | None (both parts) | $112.20 | $131.83 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $141.25 | Facility | None | $114.82 | $114.82 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $114.82 Typical High $128.82 | Professional | None (both parts) | $85.11 | $114.82 | $128.82 |
Medcost Setting Professional Modifier None Typical Low $74.13 Median $79.43 Typical High $104.71 | Professional | None | $74.13 | $79.43 | $104.71 |
Medcost Setting Facility Modifier None Typical Low $45.71 Median $93.33 Typical High $162.18 | Facility | None | $45.71 | $93.33 | $162.18 |
Medcost Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $97.72 | $120.23 | $208.93 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $89.13 | Facility | None | $72.44 | $72.44 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $83.18 Typical High $107.15 | Professional | None (both parts) | $57.54 | $83.18 | $107.15 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier RR · Rental Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | RR · Rental | $11.48 | $11.48 | $11.48 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $114.82 | Professional | 26 · Professional part | $47.86 | $51.29 | $114.82 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $144.54 Median $181.97 Typical High $588.84 | Professional | 50 · Both sides | $144.54 | $181.97 | $588.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $48.98 Median $60.26 Typical High $194.98 | Professional | 51 · Multiple procedures | $48.98 | $60.26 | $194.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.50 Median $23.99 Typical High $77.62 | Professional | 80 · Assistant surgeon | $19.50 | $23.99 | $77.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.49 Median $16.98 Typical High $54.95 | Professional | 81 · Minimal assistant surgeon | $13.49 | $16.98 | $54.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.49 Median $16.98 Typical High $54.95 | Professional | 82 · Assistant surgeon, no resident | $13.49 | $16.98 | $54.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.49 Median $16.98 Typical High $54.95 | Professional | AS · PA/NP assist | $13.49 | $16.98 | $54.95 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | SH · Second concurrent infusion | $48.98 | $48.98 | $48.98 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | SJ · Third+ concurrent infusion | $48.98 | $48.98 | $48.98 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $77.62 Typical High $173.78 | Professional | TC · Technical part | $72.44 | $77.62 | $173.78 |
Where North Carolina sits
The same service costs 2.4 times more in Hawaii than in Washington, DC. 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· 14th of 51
$132
HI $200DC $83.18
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.