How much rates vary
Facilitymedian $36 · 10th to 90th $17 to $51Professionalmedian $45 · 10th to 90th $28 to $51
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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $28.84 | $51.29 | $51.29 |
BCBS North Carolina Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $57.54 | Facility | None | $47.86 | $47.86 | $57.54 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $44.67 Typical High $47.86 | Professional | None (both parts) | $41.69 | $44.67 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $26.92 | $36.31 | $36.31 |
Medcost Setting Professional Modifier None Typical Low $27.54 Median $29.51 Typical High $39.81 | Professional | None | $27.54 | $29.51 | $39.81 |
Medcost Setting Facility Modifier None Typical Low $17.38 Median $51.29 Typical High $60.26 | Facility | None | $17.38 | $51.29 | $60.26 |
Medcost Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $69.18 | Professional | None (both parts) | $43.65 | $43.65 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $20.89 Median $28.84 Typical High $38.90 | Professional | None (both parts) | $20.89 | $28.84 | $38.90 |
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 $17.38 Median $17.38 Typical High $38.90 | Professional | 26 · Professional part | $17.38 | $17.38 | $38.90 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $66.07 Median $66.07 Typical High $194.98 | Professional | 50 · Both sides | $66.07 | $66.07 | $194.98 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $21.88 Median $21.88 Typical High $66.07 | Professional | 51 · Multiple procedures | $21.88 | $21.88 | $66.07 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.71 Median $8.71 Typical High $26.30 | Professional | 80 · Assistant surgeon | $8.71 | $8.71 | $26.30 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.17 Median $6.17 Typical High $18.62 | Professional | 81 · Minimal assistant surgeon | $6.17 | $6.17 | $18.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.17 Median $6.17 Typical High $18.62 | Professional | 82 · Assistant surgeon, no resident | $6.17 | $6.17 | $18.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.17 Median $6.17 Typical High $18.62 | Professional | AS · PA/NP assist | $6.17 | $6.17 | $18.62 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | SH · Second concurrent infusion | $21.88 | $21.88 | $21.88 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | SJ · Third+ concurrent infusion | $21.88 | $21.88 | $21.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $58.88 | Professional | TC · Technical part | $26.30 | $26.30 | $58.88 |
Where North Carolina sits
The same service costs 2.8 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· 19th of 51
$44.67
HI $75.86DE $26.92
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.