How much rates vary
Facilitymedian $68 · 10th to 90th $33 to $78Professionalmedian $71 · 10th to 90th $51 to $78
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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $42.66 | $77.62 | $77.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
BCBS North Carolina Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $107.15 | Facility | None | $89.13 | $89.13 | $107.15 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $75.86 | Professional | None (both parts) | $70.79 | $70.79 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $77.62 | Facility | None | $67.61 | $67.61 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $67.61 Typical High $74.13 | Professional | None (both parts) | $48.98 | $67.61 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $52.48 Median $56.23 Typical High $69.18 | Professional | None | $52.48 | $56.23 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $53.70 Typical High $77.62 | Facility | None | $33.11 | $53.70 | $77.62 |
Medcost Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $123.03 | Professional | None (both parts) | $75.86 | $75.86 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $51.29 Typical High $72.44 | Professional | None (both parts) | $35.48 | $51.29 | $72.44 |
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 $30.20 Median $32.36 Typical High $61.66 | Professional | 26 · Professional part | $30.20 | $32.36 | $61.66 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $114.82 Median $114.82 Typical High $288.40 | Professional | 50 · Both sides | $114.82 | $114.82 | $288.40 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $38.02 Median $38.02 Typical High $95.50 | Professional | 51 · Multiple procedures | $38.02 | $38.02 | $95.50 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.14 Median $15.14 Typical High $38.02 | Professional | 80 · Assistant surgeon | $15.14 | $15.14 | $38.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.72 Median $10.72 Typical High $26.92 | Professional | 81 · Minimal assistant surgeon | $10.72 | $10.72 | $26.92 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.72 Median $10.72 Typical High $26.92 | Professional | 82 · Assistant surgeon, no resident | $10.72 | $10.72 | $26.92 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.72 Median $10.72 Typical High $26.92 | Professional | AS · PA/NP assist | $10.72 | $10.72 | $26.92 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | SH · Second concurrent infusion | $38.02 | $38.02 | $38.02 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | SJ · Third+ concurrent infusion | $38.02 | $38.02 | $38.02 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $48.98 Typical High $79.43 | Professional | TC · Technical part | $45.71 | $48.98 | $79.43 |
Where North Carolina sits
The same service costs 3.6 times more in Hawaii than in Utah. 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· 12th of 51
$70.79
HI $129UT $35.48
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.