How much rates vary
Facilitymedian $60 · 10th to 90th $23 to $83Professionalmedian $74 · 10th to 90th $32 to $83
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 $83.18 Median $83.18 Typical High $89.13 | Facility | None | $83.18 | $83.18 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $50.12 | $83.18 | $83.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
BCBS North Carolina Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $95.50 | Facility | None | $79.43 | $79.43 | $95.50 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $63.10 Median $74.13 Typical High $77.62 | Professional | None (both parts) | $63.10 | $74.13 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $43.65 | $60.26 | $60.26 |
Medcost Setting Professional Modifier None Typical Low $27.54 Median $47.86 Typical High $47.86 | Professional | None | $27.54 | $47.86 | $47.86 |
Medcost Setting Facility Modifier None Typical Low $23.44 Median $30.90 Typical High $93.33 | Facility | None | $23.44 | $30.90 | $93.33 |
Medcost Setting Professional Modifier None (both parts) Typical Low $23.99 Median $30.90 Typical High $114.82 | Professional | None (both parts) | $23.99 | $30.90 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $47.86 Typical High $64.57 | Professional | None (both parts) | $21.38 | $47.86 | $64.57 |
11 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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier RR · Rental Typical Low $5.13 Median $6.03 Typical High $6.03 | Professional | RR · Rental | $5.13 | $6.03 | $6.03 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $28.84 Typical High $64.57 | Professional | 26 · Professional part | $12.30 | $28.84 | $64.57 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $36.31 Median $46.77 Typical High $323.59 | Professional | 50 · Both sides | $36.31 | $46.77 | $323.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $12.02 Median $15.49 Typical High $107.15 | Professional | 51 · Multiple procedures | $12.02 | $15.49 | $107.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.79 Median $6.17 Typical High $43.65 | Professional | 80 · Assistant surgeon | $4.79 | $6.17 | $43.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.39 Median $4.37 Typical High $30.20 | Professional | 81 · Minimal assistant surgeon | $3.39 | $4.37 | $30.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.39 Median $4.37 Typical High $30.20 | Professional | 82 · Assistant surgeon, no resident | $3.39 | $4.37 | $30.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.39 Median $4.37 Typical High $30.20 | Professional | AS · PA/NP assist | $3.39 | $4.37 | $30.20 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | SH · Second concurrent infusion | $12.02 | $12.02 | $12.02 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | SJ · Third+ concurrent infusion | $12.02 | $12.02 | $12.02 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $43.65 Typical High $97.72 | Professional | TC · Technical part | $18.62 | $43.65 | $97.72 |
Where North Carolina sits
The same service costs 2.5 times more in Kansas than in Florida. 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
$74.13
KS $110FL $43.65
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.