How much rates vary
Facilitymedian $135 · 10th to 90th $69 to $214Professionalmedian $186 · 10th to 90th $115 to $214
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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $120.23 | $213.80 | $213.80 |
BCBS North Carolina Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $239.88 | Facility | None | $199.53 | $199.53 | $239.88 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $169.82 Median $186.21 Typical High $199.53 | Professional | None (both parts) | $169.82 | $186.21 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $97.72 | $134.90 | $134.90 |
Medcost Setting Professional Modifier None Typical Low $112.20 Median $123.03 Typical High $158.49 | Professional | None | $112.20 | $123.03 | $158.49 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $213.80 Typical High $251.19 | Facility | None | $69.18 | $213.80 | $251.19 |
Medcost Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $295.12 | Professional | None (both parts) | $177.83 | $177.83 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $120.23 Typical High $162.18 | Professional | None (both parts) | $83.18 | $120.23 | $162.18 |
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 $70.79 Median $72.44 Typical High $162.18 | Professional | 26 · Professional part | $70.79 | $72.44 | $162.18 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $269.15 Median $269.15 Typical High $831.76 | Professional | 50 · Both sides | $269.15 | $269.15 | $831.76 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $89.13 Median $89.13 Typical High $275.42 | Professional | 51 · Multiple procedures | $89.13 | $89.13 | $275.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $35.48 Median $35.48 Typical High $109.65 | Professional | 80 · Assistant surgeon | $35.48 | $35.48 | $109.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.12 Median $25.12 Typical High $77.62 | Professional | 81 · Minimal assistant surgeon | $25.12 | $25.12 | $77.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.12 Median $25.12 Typical High $77.62 | Professional | 82 · Assistant surgeon, no resident | $25.12 | $25.12 | $77.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.12 Median $25.12 Typical High $77.62 | Professional | AS · PA/NP assist | $25.12 | $25.12 | $77.62 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | SH · Second concurrent infusion | $89.13 | $89.13 | $89.13 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | SJ · Third+ concurrent infusion | $89.13 | $89.13 | $89.13 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $109.65 Typical High $245.47 | Professional | TC · Technical part | $107.15 | $109.65 | $245.47 |
Where North Carolina sits
The same service costs 2.6 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
$186
MT $251DE $97.72
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.