How much rates vary
Facilitymedian $891 · 10th to 90th $457 to $1,514Professionalmedian $1,318 · 10th to 90th $832 to $1,514
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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $812.83 | $1,513.56 | $1,513.56 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $1,412.54 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $891.25 Typical High $912.01 | Professional | None (both parts) | $645.65 | $891.25 | $912.01 |
Medcost Setting Professional Modifier None Typical Low $676.08 Median $724.44 Typical High $1,047.13 | Professional | None | $676.08 | $724.44 | $1,047.13 |
Medcost Setting Facility Modifier None Typical Low $457.09 Median $933.25 Typical High $1,513.56 | Facility | None | $457.09 | $933.25 | $1,513.56 |
Medcost Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,202.26 Typical High $2,089.30 | Professional | None (both parts) | $977.24 | $1,202.26 | $2,089.30 |
United Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $870.96 | Facility | None | $707.95 | $707.95 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $575.44 Median $831.76 Typical High $1,071.52 | Professional | None (both parts) | $575.44 | $831.76 | $1,071.52 |
15 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $426.58 Median $758.58 Typical High $758.58 | Professional | 52 · Reduced service | $426.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $302.00 Typical High $302.00 | Professional | 53 · Discontinued | $169.82 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $128.82 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $151.36 Typical High $151.36 | Professional | 56 · Pre-op care only | $85.11 | $151.36 | $151.36 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $512.86 Typical High $1,148.15 | Professional | 26 · Professional part | $478.63 | $512.86 | $1,148.15 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,445.44 Median $1,819.70 Typical High $5,888.44 | Professional | 50 · Both sides | $1,445.44 | $1,819.70 | $5,888.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $478.63 Median $602.56 Typical High $1,949.84 | Professional | 51 · Multiple procedures | $478.63 | $602.56 | $1,949.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $194.98 Median $239.88 Typical High $776.25 | Professional | 80 · Assistant surgeon | $194.98 | $239.88 | $776.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $134.90 Median $169.82 Typical High $549.54 | Professional | 81 · Minimal assistant surgeon | $134.90 | $169.82 | $549.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $134.90 Median $169.82 Typical High $549.54 | Professional | 82 · Assistant surgeon, no resident | $134.90 | $169.82 | $549.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $134.90 Median $169.82 Typical High $549.54 | Professional | AS · PA/NP assist | $134.90 | $169.82 | $549.54 |
Medcost Setting Professional Modifier RR · Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $97.72 | $97.72 | $97.72 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | SH · Second concurrent infusion | $478.63 | $478.63 | $478.63 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | SJ · Third+ concurrent infusion | $478.63 | $478.63 | $478.63 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $776.25 Typical High $1,737.80 | Professional | TC · Technical part | $724.44 | $776.25 | $1,737.80 |
Where North Carolina sits
The same service costs 3.0 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· 14th of 51
$1,318
HI $1,950DE $646
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.