How much rates vary
Facilitymedian $178 · 10th to 90th $85 to $263Professionalmedian $229 · 10th to 90th $141 to $263
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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $147.91 | $263.03 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $208.93 Median $229.09 Typical High $245.47 | Professional | None (both parts) | $208.93 | $229.09 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $128.82 | $177.83 | $177.83 |
Medcost Setting Professional Modifier None Typical Low $138.04 Median $147.91 Typical High $194.98 | Professional | None | $138.04 | $147.91 | $194.98 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $263.03 Typical High $302.00 | Facility | None | $85.11 | $263.03 | $302.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $354.81 | Professional | None (both parts) | $218.78 | $218.78 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $147.91 Typical High $199.53 | Professional | None (both parts) | $102.33 | $147.91 | $199.53 |
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 $87.10 Median $89.13 Typical High $199.53 | Professional | 26 · Professional part | $87.10 | $89.13 | $199.53 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $331.13 Median $331.13 Typical High $1,000.00 | Professional | 50 · Both sides | $331.13 | $331.13 | $1,000.00 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $109.65 Median $109.65 Typical High $338.84 | Professional | 51 · Multiple procedures | $109.65 | $109.65 | $338.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $43.65 Median $43.65 Typical High $134.90 | Professional | 80 · Assistant surgeon | $43.65 | $43.65 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $30.90 Median $30.90 Typical High $93.33 | Professional | 81 · Minimal assistant surgeon | $30.90 | $30.90 | $93.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $30.90 Median $30.90 Typical High $93.33 | Professional | 82 · Assistant surgeon, no resident | $30.90 | $30.90 | $93.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $30.90 Median $30.90 Typical High $93.33 | Professional | AS · PA/NP assist | $30.90 | $30.90 | $93.33 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | SH · Second concurrent infusion | $109.65 | $109.65 | $109.65 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | SJ · Third+ concurrent infusion | $109.65 | $109.65 | $109.65 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $134.90 Typical High $302.00 | Professional | TC · Technical part | $131.83 | $134.90 | $302.00 |
Where North Carolina sits
The same service costs 2.4 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· 16th of 51
$229
MT $309DE $129
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.