How much rates vary
Facilitymedian $251 · 10th to 90th $123 to $380Professionalmedian $331 · 10th to 90th $200 to $380
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 $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $208.93 | $380.19 | $380.19 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $281.84 Median $331.13 Typical High $354.81 | Professional | None (both parts) | $281.84 | $331.13 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $181.97 | $251.19 | $251.19 |
Medcost Setting Professional Modifier None Typical Low $199.53 Median $218.78 Typical High $281.84 | Professional | None | $199.53 | $218.78 | $281.84 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $234.42 Typical High $416.87 | Facility | None | $123.03 | $234.42 | $416.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $512.86 | Professional | None (both parts) | $239.88 | $302.00 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $288.40 | Professional | None (both parts) | $147.91 | $213.80 | $288.40 |
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 $120.23 Median $128.82 Typical High $288.40 | Professional | 26 · Professional part | $120.23 | $128.82 | $288.40 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $363.08 Median $457.09 Typical High $1,479.11 | Professional | 50 · Both sides | $363.08 | $457.09 | $1,479.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $120.23 Median $151.36 Typical High $489.78 | Professional | 51 · Multiple procedures | $120.23 | $151.36 | $489.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $47.86 Median $60.26 Typical High $194.98 | Professional | 80 · Assistant surgeon | $47.86 | $60.26 | $194.98 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $33.88 Median $42.66 Typical High $138.04 | Professional | 81 · Minimal assistant surgeon | $33.88 | $42.66 | $138.04 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $33.88 Median $42.66 Typical High $138.04 | Professional | 82 · Assistant surgeon, no resident | $33.88 | $42.66 | $138.04 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $33.88 Median $42.66 Typical High $138.04 | Professional | AS · PA/NP assist | $33.88 | $42.66 | $138.04 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | SH · Second concurrent infusion | $120.23 | $120.23 | $120.23 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | SJ · Third+ concurrent infusion | $120.23 | $120.23 | $120.23 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $194.98 Typical High $436.52 | Professional | TC · Technical part | $181.97 | $194.98 | $436.52 |
Where North Carolina sits
The same service costs 2.5 times more in Montana 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
$331
MT $447DE $182
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.