How much rates vary
Facilitymedian $1,023 · 10th to 90th $525 to $1,622Professionalmedian $1,413 · 10th to 90th $871 to $1,622
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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,621.81 Typical High $1,621.81 | Professional | None (both parts) | $912.01 | $1,621.81 | $1,621.81 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,819.70 | Facility | None | $1,513.56 | $1,513.56 | $1,819.70 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,412.54 Typical High $1,905.46 | Professional | None (both parts) | $1,288.25 | $1,412.54 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $758.58 | $1,023.29 | $1,023.29 |
Medcost Setting Professional Modifier None Typical Low $870.96 Median $933.25 Typical High $1,202.26 | Professional | None | $870.96 | $933.25 | $1,202.26 |
Medcost Setting Facility Modifier None Typical Low $524.81 Median $1,621.81 Typical High $1,905.46 | Facility | None | $524.81 | $1,621.81 | $1,905.46 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $2,238.72 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $630.96 Median $912.01 Typical High $1,230.27 | Professional | None (both parts) | $630.96 | $912.01 | $1,230.27 |
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 $537.03 Median $562.34 Typical High $1,230.27 | Professional | 26 · Professional part | $537.03 | $562.34 | $1,230.27 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,041.74 Median $2,041.74 Typical High $6,309.57 | Professional | 50 · Both sides | $2,041.74 | $2,041.74 | $6,309.57 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $676.08 Median $676.08 Typical High $2,089.30 | Professional | 51 · Multiple procedures | $676.08 | $676.08 | $2,089.30 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $269.15 Median $269.15 Typical High $831.76 | Professional | 80 · Assistant surgeon | $269.15 | $269.15 | $831.76 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $190.55 Median $190.55 Typical High $588.84 | Professional | 81 · Minimal assistant surgeon | $190.55 | $190.55 | $588.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $190.55 Median $190.55 Typical High $588.84 | Professional | 82 · Assistant surgeon, no resident | $190.55 | $190.55 | $588.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $190.55 Median $190.55 Typical High $588.84 | Professional | AS · PA/NP assist | $190.55 | $190.55 | $588.84 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | SH · Second concurrent infusion | $676.08 | $676.08 | $676.08 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | SJ · Third+ concurrent infusion | $676.08 | $676.08 | $676.08 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $831.76 Typical High $1,862.09 | Professional | TC · Technical part | $812.83 | $831.76 | $1,862.09 |
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· 17th of 51
$1,413
MT $1,950DE $759
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.