How much rates vary
Facilitymedian $295 · 10th to 90th $148 to $457Professionalmedian $398 · 10th to 90th $245 to $457
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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $251.19 | $457.09 | $457.09 |
BCBS North Carolina Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $512.86 | Facility | None | $426.58 | $426.58 | $512.86 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $338.84 Median $398.11 Typical High $426.58 | Professional | None (both parts) | $338.84 | $398.11 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $218.78 | $295.12 | $295.12 |
Medcost Setting Professional Modifier None Typical Low $234.42 Median $251.19 Typical High $302.00 | Professional | None | $234.42 | $251.19 | $302.00 |
Medcost Setting Facility Modifier None Typical Low $147.91 Median $281.84 Typical High $501.19 | Facility | None | $147.91 | $281.84 | $501.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $288.40 Median $363.08 Typical High $616.60 | Professional | None (both parts) | $288.40 | $363.08 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $251.19 Typical High $338.84 | Professional | None (both parts) | $173.78 | $251.19 | $338.84 |
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 $144.54 Median $154.88 Typical High $346.74 | Professional | 26 · Professional part | $144.54 | $154.88 | $346.74 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $436.52 Median $549.54 Typical High $1,737.80 | Professional | 50 · Both sides | $436.52 | $549.54 | $1,737.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $144.54 Median $181.97 Typical High $588.84 | Professional | 51 · Multiple procedures | $144.54 | $181.97 | $588.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $57.54 Median $72.44 Typical High $234.42 | Professional | 80 · Assistant surgeon | $57.54 | $72.44 | $234.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $40.74 Median $51.29 Typical High $162.18 | Professional | 81 · Minimal assistant surgeon | $40.74 | $51.29 | $162.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $40.74 Median $51.29 Typical High $162.18 | Professional | 82 · Assistant surgeon, no resident | $40.74 | $51.29 | $162.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $40.74 Median $51.29 Typical High $162.18 | Professional | AS · PA/NP assist | $40.74 | $51.29 | $162.18 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | SH · Second concurrent infusion | $144.54 | $144.54 | $144.54 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | SJ · Third+ concurrent infusion | $144.54 | $144.54 | $144.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $234.42 Typical High $524.81 | Professional | TC · Technical part | $218.78 | $234.42 | $524.81 |
Where North Carolina sits
The same service costs 3.2 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· 16th of 51
$398
HI $708DE $219
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.