How much rates vary
Facilitymedian $741 · 10th to 90th $347 to $1,047Professionalmedian $912 · 10th to 90th $550 to $1,047
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $602.56 | $1,047.13 | $1,047.13 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,202.26 | Facility | None | $1,000.00 | $1,000.00 | $1,202.26 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $794.33 Median $912.01 Typical High $977.24 | Professional | None (both parts) | $794.33 | $912.01 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $954.99 | Facility | None | $741.31 | $741.31 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $741.31 Typical High $812.83 | Professional | None (both parts) | $537.03 | $741.31 | $812.83 |
Medcost Setting Professional Modifier None Typical Low $562.34 Median $602.56 Typical High $776.25 | Professional | None | $562.34 | $602.56 | $776.25 |
Medcost Setting Facility Modifier None Typical Low $346.74 Median $660.69 Typical High $1,148.15 | Facility | None | $346.74 | $660.69 | $1,148.15 |
Medcost Setting Professional Modifier None (both parts) Typical Low $676.08 Median $912.01 Typical High $1,445.44 | Professional | None (both parts) | $676.08 | $912.01 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $588.84 Typical High $794.33 | Professional | None (both parts) | $407.38 | $588.84 | $794.33 |
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 $363.08 Median $407.38 Typical High $812.83 | Professional | 26 · Professional part | $363.08 | $407.38 | $812.83 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,000.00 Median $1,348.96 Typical High $4,073.80 | Professional | 50 · Both sides | $1,000.00 | $1,348.96 | $4,073.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $338.84 Median $457.09 Typical High $1,348.96 | Professional | 51 · Multiple procedures | $338.84 | $457.09 | $1,348.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $134.90 Median $181.97 Typical High $549.54 | Professional | 80 · Assistant surgeon | $134.90 | $181.97 | $549.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $93.33 Median $125.89 Typical High $380.19 | Professional | 81 · Minimal assistant surgeon | $93.33 | $125.89 | $380.19 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $93.33 Median $125.89 Typical High $380.19 | Professional | 82 · Assistant surgeon, no resident | $93.33 | $125.89 | $380.19 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $93.33 Median $125.89 Typical High $380.19 | Professional | AS · PA/NP assist | $93.33 | $125.89 | $380.19 |
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 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $616.60 Typical High $1,202.26 | Professional | TC · Technical part | $549.54 | $616.60 | $1,202.26 |
Where North Carolina sits
The same service costs 2.3 times more in Hawaii than in Arizona. 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· 16th of 51
$912
HI $1,259AZ $537
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.