How much rates vary
Facilitymedian $372 · 10th to 90th $355 to $479Professionalmedian $427 · 10th to 90th $275 to $479
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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $281.84 | $478.63 | $478.63 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $363.08 Median $645.65 Typical High $831.76 | Professional | None (both parts) | $363.08 | $645.65 | $831.76 |
BCBS North Carolina Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $575.44 | Facility | None | $478.63 | $478.63 | $575.44 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $416.87 Median $426.58 Typical High $446.68 | Professional | None (both parts) | $416.87 | $426.58 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $380.19 | Facility | None | $371.54 | $371.54 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $371.54 Typical High $380.19 | Professional | None (both parts) | $275.42 | $371.54 | $380.19 |
Medcost Setting Facility Modifier None Typical Low $354.81 Median $478.63 Typical High $562.34 | Facility | None | $354.81 | $478.63 | $562.34 |
Medcost Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $707.95 | Professional | None (both parts) | $446.68 | $446.68 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $199.53 | $275.42 | $398.11 |
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 $177.83 Median $177.83 Typical High $371.54 | Professional | 26 · Professional part | $177.83 | $177.83 | $371.54 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $660.69 Median $660.69 Typical High $1,949.84 | Professional | 50 · Both sides | $660.69 | $660.69 | $1,949.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $223.87 Median $223.87 Typical High $660.69 | Professional | 51 · Multiple procedures | $223.87 | $223.87 | $660.69 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $89.13 Median $89.13 Typical High $263.03 | Professional | 80 · Assistant surgeon | $89.13 | $89.13 | $263.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $61.66 Median $61.66 Typical High $181.97 | Professional | 81 · Minimal assistant surgeon | $61.66 | $61.66 | $181.97 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $61.66 Median $61.66 Typical High $181.97 | Professional | 82 · Assistant surgeon, no resident | $61.66 | $61.66 | $181.97 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $61.66 Median $61.66 Typical High $181.97 | Professional | AS · PA/NP assist | $61.66 | $61.66 | $181.97 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | SH · Second concurrent infusion | $223.87 | $223.87 | $223.87 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | SJ · Third+ concurrent infusion | $223.87 | $223.87 | $223.87 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $549.54 | Professional | TC · Technical part | $269.15 | $269.15 | $549.54 |
Where North Carolina sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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· 18th of 51
$427
HI $575NJ $275
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.