How much rates vary
Facilitymedian $178 · 10th to 90th $91 to $282Professionalmedian $245 · 10th to 90th $151 to $282
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 $281.84 Median $281.84 Typical High $295.12 | Facility | None | $281.84 | $281.84 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $151.36 | $281.84 | $281.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
BCBS North Carolina Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $316.23 | Facility | None | $263.03 | $263.03 | $316.23 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $223.87 Median $245.47 Typical High $257.04 | Professional | None (both parts) | $223.87 | $245.47 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $181.97 | Facility | None | $177.83 | $177.83 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $181.97 | Professional | None (both parts) | $128.82 | $177.83 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $147.91 Median $158.49 Typical High $208.93 | Professional | None | $147.91 | $158.49 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $91.20 Median $281.84 Typical High $323.59 | Facility | None | $91.20 | $281.84 | $323.59 |
Medcost Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $380.19 | Professional | None (both parts) | $234.42 | $234.42 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $213.80 | Professional | None (both parts) | $109.65 | $154.88 | $213.80 |
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 $93.33 Median $95.50 Typical High $213.80 | Professional | 26 · Professional part | $93.33 | $95.50 | $213.80 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $346.74 Median $346.74 Typical High $1,071.52 | Professional | 50 · Both sides | $346.74 | $346.74 | $1,071.52 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $117.49 Median $117.49 Typical High $363.08 | Professional | 51 · Multiple procedures | $117.49 | $117.49 | $363.08 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $46.77 Median $46.77 Typical High $144.54 | Professional | 80 · Assistant surgeon | $46.77 | $46.77 | $144.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $32.36 Median $32.36 Typical High $100.00 | Professional | 81 · Minimal assistant surgeon | $32.36 | $32.36 | $100.00 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $32.36 Median $32.36 Typical High $100.00 | Professional | 82 · Assistant surgeon, no resident | $32.36 | $32.36 | $100.00 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $32.36 Median $32.36 Typical High $100.00 | Professional | AS · PA/NP assist | $32.36 | $32.36 | $100.00 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | SH · Second concurrent infusion | $117.49 | $117.49 | $117.49 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | SJ · Third+ concurrent infusion | $117.49 | $117.49 | $117.49 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $144.54 Typical High $323.59 | Professional | TC · Technical part | $141.25 | $144.54 | $323.59 |
Where North Carolina sits
The same service costs 2.3 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· 15th of 51
$245
MT $324DE $138
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.