How much rates vary
Facilitymedian $851 · 10th to 90th $437 to $1,349Professionalmedian $1,175 · 10th to 90th $708 to $1,349
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $758.58 | $1,348.96 | $1,348.96 |
BCBS Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,513.56 | Facility | None | $1,258.93 | $1,258.93 | $1,513.56 |
BCBS Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $1,000.00 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $616.60 | $851.14 | $851.14 |
Medcost Setting Professional Modifier None Typical Low $630.96 Median $676.08 Typical High $1,000.00 | Professional | None | $630.96 | $676.08 | $1,000.00 |
Medcost Setting Facility Modifier None Typical Low $436.52 Median $831.76 Typical High $1,380.38 | Facility | None | $436.52 | $831.76 | $1,380.38 |
Medcost Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,071.52 Typical High $1,862.09 | Professional | None (both parts) | $870.96 | $1,071.52 | $1,862.09 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $776.25 | Facility | None | $630.96 | $630.96 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $512.86 Median $758.58 Typical High $1,023.29 | Professional | None (both parts) | $512.86 | $758.58 | $1,023.29 |
14 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $380.19 Median $676.08 Typical High $676.08 | Professional | 52 · Reduced service | $380.19 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $151.36 Median $269.15 Typical High $269.15 | Professional | 53 · Discontinued | $151.36 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $199.53 Typical High $199.53 | Professional | 55 · Aftercare only | $114.82 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $75.86 Median $134.90 Typical High $134.90 | Professional | 56 · Pre-op care only | $75.86 | $134.90 | $134.90 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $457.09 Typical High $1,023.29 | Professional | 26 · Professional part | $426.58 | $457.09 | $1,023.29 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,288.25 Median $1,621.81 Typical High $5,248.07 | Professional | 50 · Both sides | $1,288.25 | $1,621.81 | $5,248.07 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $426.58 Median $537.03 Typical High $1,737.80 | Professional | 51 · Multiple procedures | $426.58 | $537.03 | $1,737.80 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $173.78 Median $213.80 Typical High $691.83 | Professional | 80 · Assistant surgeon | $173.78 | $213.80 | $691.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $120.23 Median $151.36 Typical High $489.78 | Professional | 81 · Minimal assistant surgeon | $120.23 | $151.36 | $489.78 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $120.23 Median $151.36 Typical High $489.78 | Professional | 82 · Assistant surgeon, no resident | $120.23 | $151.36 | $489.78 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $120.23 Median $151.36 Typical High $489.78 | Professional | AS · PA/NP assist | $120.23 | $151.36 | $489.78 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | SH · Second concurrent infusion | $426.58 | $426.58 | $426.58 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | SJ · Third+ concurrent infusion | $426.58 | $426.58 | $426.58 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $691.83 Typical High $1,548.82 | Professional | TC · Technical part | $645.65 | $691.83 | $1,548.82 |
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· 14th of 51
$1,175
HI $1,820DE $617
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.