How much rates vary
Facilitymedian $275 · 10th to 90th $145 to $437Professionalmedian $380 · 10th to 90th $240 to $437
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 $436.52 Median $436.52 Typical High $524.81 | Facility | None | $436.52 | $436.52 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $239.88 | $436.52 | $436.52 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $371.54 Median $380.19 Typical High $416.87 | Professional | None (both parts) | $371.54 | $380.19 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $204.17 | $275.42 | $275.42 |
Medcost Setting Professional Modifier None Typical Low $234.42 Median $251.19 Typical High $331.13 | Professional | None | $234.42 | $251.19 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $436.52 Typical High $512.86 | Facility | None | $144.54 | $436.52 | $512.86 |
Medcost Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $602.56 | Professional | None (both parts) | $380.19 | $380.19 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $245.47 Typical High $457.09 | Professional | None (both parts) | $169.82 | $245.47 | $457.09 |
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 $151.36 Median $151.36 Typical High $338.84 | Professional | 26 · Professional part | $151.36 | $151.36 | $338.84 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $562.34 Median $562.34 Typical High $1,698.24 | Professional | 50 · Both sides | $562.34 | $562.34 | $1,698.24 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $186.21 Median $186.21 Typical High $562.34 | Professional | 51 · Multiple procedures | $186.21 | $186.21 | $562.34 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $75.86 Median $75.86 Typical High $223.87 | Professional | 80 · Assistant surgeon | $75.86 | $75.86 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $52.48 Median $52.48 Typical High $158.49 | Professional | 81 · Minimal assistant surgeon | $52.48 | $52.48 | $158.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $52.48 Median $52.48 Typical High $158.49 | Professional | 82 · Assistant surgeon, no resident | $52.48 | $52.48 | $158.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $52.48 Median $52.48 Typical High $158.49 | Professional | AS · PA/NP assist | $52.48 | $52.48 | $158.49 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | SH · Second concurrent infusion | $186.21 | $186.21 | $186.21 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | SJ · Third+ concurrent infusion | $186.21 | $186.21 | $186.21 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $501.19 | Professional | TC · Technical part | $223.87 | $223.87 | $501.19 |
Where North Carolina sits
The same service costs 2.5 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· 17th of 51
$380
MT $513DE $204
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.