How much rates vary
Facilitymedian $324 · 10th to 90th $166 to $513Professionalmedian $447 · 10th to 90th $275 to $513
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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $288.40 | $512.86 | $512.86 |
BCBS North Carolina Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $575.44 | Facility | None | $478.63 | $478.63 | $575.44 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $436.52 Median $446.68 Typical High $489.78 | Professional | None (both parts) | $436.52 | $446.68 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $239.88 | $323.59 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $275.42 Median $295.12 Typical High $389.05 | Professional | None | $275.42 | $295.12 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $165.96 Median $512.86 Typical High $602.56 | Facility | None | $165.96 | $512.86 | $602.56 |
Medcost Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $707.95 | Professional | None (both parts) | $436.52 | $436.52 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $288.40 Typical High $389.05 | Professional | None (both parts) | $199.53 | $288.40 | $389.05 |
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 $177.83 Median $177.83 Typical High $398.11 | Professional | 26 · Professional part | $177.83 | $177.83 | $398.11 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $660.69 Median $660.69 Typical High $1,995.26 | Professional | 50 · Both sides | $660.69 | $660.69 | $1,995.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $218.78 Median $218.78 Typical High $660.69 | Professional | 51 · Multiple procedures | $218.78 | $218.78 | $660.69 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $87.10 Median $87.10 Typical High $263.03 | Professional | 80 · Assistant surgeon | $87.10 | $87.10 | $263.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $61.66 Median $61.66 Typical High $186.21 | Professional | 81 · Minimal assistant surgeon | $61.66 | $61.66 | $186.21 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $61.66 Median $61.66 Typical High $186.21 | Professional | 82 · Assistant surgeon, no resident | $61.66 | $61.66 | $186.21 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $61.66 Median $61.66 Typical High $186.21 | Professional | AS · PA/NP assist | $61.66 | $61.66 | $186.21 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | SH · Second concurrent infusion | $218.78 | $218.78 | $218.78 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | SJ · Third+ concurrent infusion | $218.78 | $218.78 | $218.78 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $588.84 | Professional | TC · Technical part | $263.03 | $263.03 | $588.84 |
Where North Carolina sits
The same service costs 3.0 times more in Hawaii than in Kansas. 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· 16th of 51
$447
HI $603KS $200
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.