How much rates vary
Facilitymedian $58 · 10th to 90th $29 to $69Professionalmedian $63 · 10th to 90th $47 to $76
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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $37.15 | $69.18 | $69.18 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $61.66 Median $63.10 Typical High $70.79 | Professional | None (both parts) | $61.66 | $63.10 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $57.54 Typical High $57.54 | Professional | None (both parts) | $41.69 | $57.54 | $57.54 |
Medcost Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $66.07 | Professional | None | $46.77 | $51.29 | $66.07 |
Medcost Setting Facility Modifier None Typical Low $28.84 Median $51.29 Typical High $70.79 | Facility | None | $28.84 | $51.29 | $70.79 |
Medcost Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $107.15 | Professional | None (both parts) | $70.79 | $70.79 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $47.86 Typical High $66.07 | Professional | None (both parts) | $30.20 | $47.86 | $66.07 |
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 $28.18 Median $30.20 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $30.20 | $57.54 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $107.15 Median $107.15 Typical High $245.47 | Professional | 50 · Both sides | $107.15 | $107.15 | $245.47 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $35.48 Median $35.48 Typical High $81.28 | Professional | 51 · Multiple procedures | $35.48 | $35.48 | $81.28 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.13 Median $14.13 Typical High $32.36 | Professional | 80 · Assistant surgeon | $14.13 | $14.13 | $32.36 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.00 Median $10.00 Typical High $22.91 | Professional | 81 · Minimal assistant surgeon | $10.00 | $10.00 | $22.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.00 Median $10.00 Typical High $22.91 | Professional | 82 · Assistant surgeon, no resident | $10.00 | $10.00 | $22.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.00 Median $10.00 Typical High $22.91 | Professional | AS · PA/NP assist | $10.00 | $10.00 | $22.91 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | SH · Second concurrent infusion | $35.48 | $35.48 | $35.48 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | SJ · Third+ concurrent infusion | $35.48 | $35.48 | $35.48 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $45.71 Typical High $72.44 | Professional | TC · Technical part | $42.66 | $45.71 | $72.44 |
Where North Carolina sits
The same service costs 3.2 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· 10th of 51
$63.10
HI $95.50UT $30.20
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.