How much rates vary
Facilitymedian $135 · 10th to 90th $79 to $240Professionalmedian $209 · 10th to 90th $126 to $240
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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $134.90 | $239.88 | $239.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.89 Median $208.93 Typical High $218.78 | Professional | None (both parts) | $20.89 | $208.93 | $218.78 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $181.97 Median $208.93 Typical High $223.87 | Professional | None (both parts) | $181.97 | $208.93 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $97.72 | $134.90 | $134.90 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $138.04 Typical High $177.83 | Professional | None | $128.82 | $138.04 | $177.83 |
Medcost Setting Facility Modifier None Typical Low $79.43 Median $151.36 Typical High $263.03 | Facility | None | $79.43 | $151.36 | $263.03 |
Medcost Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $331.13 | Professional | None (both parts) | $154.88 | $194.98 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $93.33 | $134.90 | $181.97 |
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 $77.62 Median $83.18 Typical High $186.21 | Professional | 26 · Professional part | $77.62 | $83.18 | $186.21 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $229.09 Median $288.40 Typical High $933.25 | Professional | 50 · Both sides | $229.09 | $288.40 | $933.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $77.62 Median $97.72 Typical High $309.03 | Professional | 51 · Multiple procedures | $77.62 | $97.72 | $309.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.90 Median $38.90 Typical High $125.89 | Professional | 80 · Assistant surgeon | $30.90 | $38.90 | $125.89 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.38 Median $26.92 Typical High $87.10 | Professional | 81 · Minimal assistant surgeon | $21.38 | $26.92 | $87.10 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.38 Median $26.92 Typical High $87.10 | Professional | 82 · Assistant surgeon, no resident | $21.38 | $26.92 | $87.10 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.38 Median $26.92 Typical High $87.10 | Professional | AS · PA/NP assist | $21.38 | $26.92 | $87.10 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | SH · Second concurrent infusion | $77.62 | $77.62 | $77.62 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | SJ · Third+ concurrent infusion | $77.62 | $77.62 | $77.62 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $123.03 Typical High $275.42 | Professional | TC · Technical part | $114.82 | $123.03 | $275.42 |
Where North Carolina sits
The same service costs 2.3 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· 18th of 51
$209
KS $282DE $120
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.