How much rates vary
Facilitymedian $1,413 · 10th to 90th $631 to $1,905Professionalmedian $1,660 · 10th to 90th $1,023 to $1,905
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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,905.46 Typical High $1,905.46 | Professional | None (both parts) | $1,071.52 | $1,905.46 | $1,905.46 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,659.59 Typical High $2,238.72 | Professional | None (both parts) | $1,548.82 | $1,659.59 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $1,023.29 | $1,412.54 | $1,412.54 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,445.44 | Professional | None | $1,023.29 | $1,096.48 | $1,445.44 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $1,905.46 Typical High $2,238.72 | Facility | None | $630.96 | $1,905.46 | $2,238.72 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $2,630.27 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,071.52 Typical High $1,445.44 | Professional | None (both parts) | $741.31 | $1,071.52 | $1,445.44 |
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 $645.65 Median $660.69 Typical High $1,479.11 | Professional | 26 · Professional part | $645.65 | $660.69 | $1,479.11 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,398.83 Median $2,398.83 Typical High $7,413.10 | Professional | 50 · Both sides | $2,398.83 | $2,398.83 | $7,413.10 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $794.33 Median $794.33 Typical High $2,454.71 | Professional | 51 · Multiple procedures | $794.33 | $794.33 | $2,454.71 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $323.59 Median $323.59 Typical High $977.24 | Professional | 80 · Assistant surgeon | $323.59 | $323.59 | $977.24 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $223.87 Median $223.87 Typical High $691.83 | Professional | 81 · Minimal assistant surgeon | $223.87 | $223.87 | $691.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $223.87 Median $223.87 Typical High $691.83 | Professional | 82 · Assistant surgeon, no resident | $223.87 | $223.87 | $691.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $223.87 Median $223.87 Typical High $691.83 | Professional | AS · PA/NP assist | $223.87 | $223.87 | $691.83 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | SH · Second concurrent infusion | $794.33 | $794.33 | $794.33 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | SJ · Third+ concurrent infusion | $794.33 | $794.33 | $794.33 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $977.24 Typical High $2,187.76 | Professional | TC · Technical part | $954.99 | $977.24 | $2,187.76 |
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
$1,660
MT $2,291DE $1,023
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.