How much rates vary
Facilitymedian $66 · 10th to 90th $34 to $105Professionalmedian $91 · 10th to 90th $56 to $105
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $56.23 | $104.71 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $125.89 | Professional | None (both parts) | $91.20 | $91.20 | $125.89 |
BCBS North Carolina Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $117.49 | Facility | None | $97.72 | $97.72 | $117.49 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $89.13 Median $91.20 Typical High $100.00 | Professional | None (both parts) | $89.13 | $91.20 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $70.79 | Facility | None | $66.07 | $66.07 | $70.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $66.07 Typical High $70.79 | Professional | None (both parts) | $47.86 | $66.07 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $54.95 Median $58.88 Typical High $77.62 | Professional | None | $54.95 | $58.88 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $33.88 Median $64.57 Typical High $114.82 | Facility | None | $33.88 | $64.57 | $114.82 |
Medcost Setting Professional Modifier None (both parts) Typical Low $66.07 Median $83.18 Typical High $141.25 | Professional | None (both parts) | $66.07 | $83.18 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $58.88 Typical High $79.43 | Professional | None (both parts) | $40.74 | $58.88 | $79.43 |
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 $33.88 Median $35.48 Typical High $79.43 | Professional | 26 · Professional part | $33.88 | $35.48 | $79.43 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $100.00 Median $125.89 Typical High $398.11 | Professional | 50 · Both sides | $100.00 | $125.89 | $398.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.11 Median $41.69 Typical High $134.90 | Professional | 51 · Multiple procedures | $33.11 | $41.69 | $134.90 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.18 Median $16.98 Typical High $53.70 | Professional | 80 · Assistant surgeon | $13.18 | $16.98 | $53.70 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.33 Median $11.75 Typical High $37.15 | Professional | 81 · Minimal assistant surgeon | $9.33 | $11.75 | $37.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.33 Median $11.75 Typical High $37.15 | Professional | 82 · Assistant surgeon, no resident | $9.33 | $11.75 | $37.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.33 Median $11.75 Typical High $37.15 | Professional | AS · PA/NP assist | $9.33 | $11.75 | $37.15 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | SH · Second concurrent infusion | $33.11 | $33.11 | $33.11 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | SJ · Third+ concurrent infusion | $33.11 | $33.11 | $33.11 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $53.70 Typical High $120.23 | Professional | TC · Technical part | $50.12 | $53.70 | $120.23 |
Where North Carolina sits
The same service costs 2.5 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· 15th of 51
$91.20
KS $126DE $51.29
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.