How much rates vary
Facilitymedian $214 · 10th to 90th $102 to $309Professionalmedian $269 · 10th to 90th $174 to $309
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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $173.78 | $309.03 | $309.03 |
BCBS North Carolina Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $354.81 | Facility | None | $295.12 | $295.12 | $354.81 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $263.03 Median $269.15 Typical High $288.40 | Professional | None (both parts) | $263.03 | $269.15 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $154.88 | $213.80 | $213.80 |
Medcost Setting Professional Modifier None Typical Low $165.96 Median $177.83 Typical High $234.42 | Professional | None | $165.96 | $177.83 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $102.33 Median $309.03 Typical High $363.08 | Facility | None | $102.33 | $309.03 | $363.08 |
Medcost Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $257.04 | $257.04 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $120.23 | $173.78 | $234.42 |
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 $104.71 Median $107.15 Typical High $239.88 | Professional | 26 · Professional part | $104.71 | $107.15 | $239.88 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $389.05 Median $389.05 Typical High $1,202.26 | Professional | 50 · Both sides | $389.05 | $389.05 | $1,202.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $128.82 Median $128.82 Typical High $398.11 | Professional | 51 · Multiple procedures | $128.82 | $128.82 | $398.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $51.29 Median $51.29 Typical High $158.49 | Professional | 80 · Assistant surgeon | $51.29 | $51.29 | $158.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $36.31 Median $36.31 Typical High $112.20 | Professional | 81 · Minimal assistant surgeon | $36.31 | $36.31 | $112.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $36.31 Median $36.31 Typical High $112.20 | Professional | 82 · Assistant surgeon, no resident | $36.31 | $36.31 | $112.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $36.31 Median $36.31 Typical High $112.20 | Professional | AS · PA/NP assist | $36.31 | $36.31 | $112.20 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | SH · Second concurrent infusion | $128.82 | $128.82 | $128.82 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | SJ · Third+ concurrent infusion | $128.82 | $128.82 | $128.82 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $158.49 Typical High $354.81 | Professional | TC · Technical part | $154.88 | $158.49 | $354.81 |
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· 18th of 51
$269
MT $372DE $155
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.