How much rates vary
Facilitymedian $575 · 10th to 90th $263 to $759Professionalmedian $661 · 10th to 90th $437 to $891
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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $446.68 | $758.58 | $758.58 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $891.25 | Professional | None (both parts) | $660.69 | $660.69 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $426.58 | $575.44 | $575.44 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $416.87 Typical High $660.69 | Professional | None | $389.05 | $416.87 | $660.69 |
Medcost Setting Facility Modifier None Typical Low $263.03 Median $758.58 Typical High $1,047.13 | Facility | None | $263.03 | $758.58 | $1,047.13 |
Medcost Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $660.69 | $1,096.48 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $436.52 Typical High $676.08 | Professional | None (both parts) | $316.23 | $436.52 | $676.08 |
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 $263.03 Median $436.52 Typical High $588.84 | Professional | 26 · Professional part | $263.03 | $436.52 | $588.84 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $977.24 Median $1,659.59 Typical High $2,951.21 | Professional | 50 · Both sides | $977.24 | $1,659.59 | $2,951.21 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $331.13 Median $549.54 Typical High $977.24 | Professional | 51 · Multiple procedures | $331.13 | $549.54 | $977.24 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $131.83 Median $218.78 Typical High $398.11 | Professional | 80 · Assistant surgeon | $131.83 | $218.78 | $398.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $91.20 Median $154.88 Typical High $275.42 | Professional | 81 · Minimal assistant surgeon | $91.20 | $154.88 | $275.42 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $91.20 Median $154.88 Typical High $275.42 | Professional | 82 · Assistant surgeon, no resident | $91.20 | $154.88 | $275.42 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $91.20 Median $154.88 Typical High $275.42 | Professional | AS · PA/NP assist | $91.20 | $154.88 | $275.42 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | SH · Second concurrent infusion | $549.54 | $549.54 | $549.54 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | SJ · Third+ concurrent infusion | $549.54 | $549.54 | $549.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $660.69 Typical High $870.96 | Professional | TC · Technical part | $398.11 | $660.69 | $870.96 |
Where North Carolina sits
The same service costs 2.8 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· 18th of 51
$661
HI $1,175DE $427
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.