How much rates vary
Facilitymedian $107 · 10th to 90th $55 to $170Professionalmedian $148 · 10th to 90th $93 to $170
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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $91.20 | $169.82 | $169.82 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $141.25 Median $147.91 Typical High $158.49 | Professional | None (both parts) | $141.25 | $147.91 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $154.88 | Facility | None | $107.15 | $107.15 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $107.15 Typical High $120.23 | Professional | None (both parts) | $77.62 | $107.15 | $120.23 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $97.72 Typical High $125.89 | Professional | None | $89.13 | $97.72 | $125.89 |
Medcost Setting Facility Modifier None Typical Low $54.95 Median $104.71 Typical High $186.21 | Facility | None | $54.95 | $104.71 | $186.21 |
Medcost Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $234.42 | Professional | None (both parts) | $107.15 | $134.90 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $95.50 Typical High $128.82 | Professional | None (both parts) | $66.07 | $95.50 | $128.82 |
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 $54.95 Median $57.54 Typical High $128.82 | Professional | 26 · Professional part | $54.95 | $57.54 | $128.82 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $162.18 Median $204.17 Typical High $660.69 | Professional | 50 · Both sides | $162.18 | $204.17 | $660.69 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $53.70 Median $67.61 Typical High $218.78 | Professional | 51 · Multiple procedures | $53.70 | $67.61 | $218.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.38 Median $26.92 Typical High $87.10 | Professional | 80 · Assistant surgeon | $21.38 | $26.92 | $87.10 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.14 Median $19.05 Typical High $61.66 | Professional | 81 · Minimal assistant surgeon | $15.14 | $19.05 | $61.66 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.14 Median $19.05 Typical High $61.66 | Professional | 82 · Assistant surgeon, no resident | $15.14 | $19.05 | $61.66 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.14 Median $19.05 Typical High $61.66 | Professional | AS · PA/NP assist | $15.14 | $19.05 | $61.66 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | SH · Second concurrent infusion | $53.70 | $53.70 | $53.70 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | SJ · Third+ concurrent infusion | $53.70 | $53.70 | $53.70 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $87.10 Typical High $194.98 | Professional | TC · Technical part | $81.28 | $87.10 | $194.98 |
Where North Carolina sits
The same service costs 2.6 times more in Kansas 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· 17th of 51
$148
KS $204DE $77.62
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.