How much rates vary
Facilitymedian $912 · 10th to 90th $407 to $1,230Professionalmedian $1,072 · 10th to 90th $661 to $1,230
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $676.08 | $1,230.27 | $1,230.27 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,071.52 Typical High $1,445.44 | Professional | None (both parts) | $1,000.00 | $1,071.52 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $912.01 Typical High $912.01 | Professional | None (both parts) | $660.69 | $912.01 | $912.01 |
Medcost Setting Professional Modifier None Typical Low $660.69 Median $707.95 Typical High $933.25 | Professional | None | $660.69 | $707.95 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $1,230.27 Typical High $1,445.44 | Facility | None | $407.38 | $1,230.27 | $1,445.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,698.24 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,698.24 |
United Setting Professional Modifier None (both parts) Typical Low $478.63 Median $691.83 Typical High $933.25 | Professional | None (both parts) | $478.63 | $691.83 | $933.25 |
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 $416.87 Median $426.58 Typical High $954.99 | Professional | 26 · Professional part | $416.87 | $426.58 | $954.99 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,548.82 Median $1,548.82 Typical High $4,786.30 | Professional | 50 · Both sides | $1,548.82 | $1,548.82 | $4,786.30 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $512.86 Median $512.86 Typical High $1,584.89 | Professional | 51 · Multiple procedures | $512.86 | $512.86 | $1,584.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $208.93 Median $208.93 Typical High $645.65 | Professional | 80 · Assistant surgeon | $208.93 | $208.93 | $645.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $144.54 Median $144.54 Typical High $446.68 | Professional | 81 · Minimal assistant surgeon | $144.54 | $144.54 | $446.68 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $144.54 Median $144.54 Typical High $446.68 | Professional | 82 · Assistant surgeon, no resident | $144.54 | $144.54 | $446.68 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $144.54 Typical High $446.68 | Professional | AS · PA/NP assist | $144.54 | $144.54 | $446.68 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | SH · Second concurrent infusion | $512.86 | $512.86 | $512.86 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | SJ · Third+ concurrent infusion | $512.86 | $512.86 | $512.86 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $630.96 Typical High $1,412.54 | Professional | TC · Technical part | $616.60 | $630.96 | $1,412.54 |
Where North Carolina sits
The same service costs 2.2 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· 17th of 51
$1,072
HI $1,479DE $661
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.