How much rates vary
Facilitymedian $347 · 10th to 90th $166 to $513Professionalmedian $447 · 10th to 90th $275 to $513
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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $288.40 | $512.86 | $512.86 |
BCBS North Carolina Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $575.44 | Facility | None | $478.63 | $478.63 | $575.44 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $380.19 Median $446.68 Typical High $478.63 | Professional | None (both parts) | $380.19 | $446.68 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $251.19 | $346.74 | $346.74 |
Medcost Setting Professional Modifier None Typical Low $257.04 Median $281.84 Typical High $380.19 | Professional | None | $257.04 | $281.84 | $380.19 |
Medcost Setting Facility Modifier None Typical Low $165.96 Median $316.23 Typical High $562.34 | Facility | None | $165.96 | $316.23 | $562.34 |
Medcost Setting Professional Modifier None (both parts) Typical Low $323.59 Median $407.38 Typical High $691.83 | Professional | None (both parts) | $323.59 | $407.38 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $288.40 Typical High $380.19 | Professional | None (both parts) | $199.53 | $288.40 | $380.19 |
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 $162.18 Median $173.78 Typical High $389.05 | Professional | 26 · Professional part | $162.18 | $173.78 | $389.05 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $489.78 Median $616.60 Typical High $1,949.84 | Professional | 50 · Both sides | $489.78 | $616.60 | $1,949.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $162.18 Median $204.17 Typical High $660.69 | Professional | 51 · Multiple procedures | $162.18 | $204.17 | $660.69 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $64.57 Median $81.28 Typical High $263.03 | Professional | 80 · Assistant surgeon | $64.57 | $81.28 | $263.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $45.71 Median $57.54 Typical High $181.97 | Professional | 81 · Minimal assistant surgeon | $45.71 | $57.54 | $181.97 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $45.71 Median $57.54 Typical High $181.97 | Professional | 82 · Assistant surgeon, no resident | $45.71 | $57.54 | $181.97 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $45.71 Median $57.54 Typical High $181.97 | Professional | AS · PA/NP assist | $45.71 | $57.54 | $181.97 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | SH · Second concurrent infusion | $162.18 | $162.18 | $162.18 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | SJ · Third+ concurrent infusion | $162.18 | $162.18 | $162.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $263.03 Typical High $588.84 | Professional | TC · Technical part | $245.47 | $263.03 | $588.84 |
Where North Carolina sits
The same service costs 3.0 times more in Hawaii than in Delaware. 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
$447
HI $741DE $251
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.