How much rates vary
Facilitymedian $1,349 · 10th to 90th $589 to $1,820Professionalmedian $1,585 · 10th to 90th $977 to $1,820
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $1,023.29 | $1,819.70 | $1,819.70 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,584.89 Typical High $2,137.96 | Professional | None (both parts) | $1,445.44 | $1,584.89 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $977.24 | $1,348.96 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,348.96 | Professional | None | $954.99 | $1,047.13 | $1,348.96 |
Medcost Setting Facility Modifier None Typical Low $588.84 Median $1,819.70 Typical High $2,137.96 | Facility | None | $588.84 | $1,819.70 | $2,137.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,513.56 Typical High $2,511.89 | Professional | None (both parts) | $1,513.56 | $1,513.56 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,023.29 Typical High $1,380.38 | Professional | None (both parts) | $707.95 | $1,023.29 | $1,380.38 |
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 $602.56 Median $630.96 Typical High $1,380.38 | Professional | 26 · Professional part | $602.56 | $630.96 | $1,380.38 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,290.87 Median $2,290.87 Typical High $7,079.46 | Professional | 50 · Both sides | $2,290.87 | $2,290.87 | $7,079.46 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $758.58 Median $758.58 Typical High $2,344.23 | Professional | 51 · Multiple procedures | $758.58 | $758.58 | $2,344.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $302.00 Median $302.00 Typical High $933.25 | Professional | 80 · Assistant surgeon | $302.00 | $302.00 | $933.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $213.80 Median $213.80 Typical High $660.69 | Professional | 81 · Minimal assistant surgeon | $213.80 | $213.80 | $660.69 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $213.80 Median $213.80 Typical High $660.69 | Professional | 82 · Assistant surgeon, no resident | $213.80 | $213.80 | $660.69 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $213.80 Median $213.80 Typical High $660.69 | Professional | AS · PA/NP assist | $213.80 | $213.80 | $660.69 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | SH · Second concurrent infusion | $758.58 | $758.58 | $758.58 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | SJ · Third+ concurrent infusion | $758.58 | $758.58 | $758.58 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $933.25 Typical High $2,089.30 | Professional | TC · Technical part | $912.01 | $933.25 | $2,089.30 |
Where North Carolina sits
The same service costs 2.2 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
$1,585
MT $2,188DE $977
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.