How much rates vary
Facilitymedian $1,738 · 10th to 90th $891 to $2,455Professionalmedian $2,512 · 10th to 90th $1,585 to $2,692
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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,454.71 Typical High $2,454.71 | Professional | None (both parts) | $1,479.11 | $2,454.71 | $2,454.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None (both parts) | $2,511.89 | $2,511.89 | $2,511.89 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,235.94 | Facility | None | $2,754.23 | $2,754.23 | $3,235.94 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $2,511.89 Typical High $3,388.44 | Professional | None (both parts) | $1,905.46 | $2,511.89 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,737.80 Typical High $1,737.80 | Professional | None (both parts) | $1,258.93 | $1,737.80 | $1,737.80 |
Medcost Setting Professional Modifier None Typical Low $1,548.82 Median $1,659.59 Typical High $1,862.09 | Professional | None | $1,548.82 | $1,659.59 | $1,862.09 |
Medcost Setting Facility Modifier None Typical Low $891.25 Median $1,819.70 Typical High $2,691.53 | Facility | None | $891.25 | $1,819.70 | $2,691.53 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $2,290.87 Typical High $3,981.07 | Professional | None (both parts) | $1,862.09 | $2,290.87 | $3,981.07 |
United Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,659.59 Typical High $2,137.96 | Professional | None (both parts) | $1,258.93 | $1,659.59 | $2,137.96 |
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 $933.25 Median $1,000.00 Typical High $2,238.72 | Professional | 26 · Professional part | $933.25 | $1,000.00 | $2,238.72 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,754.23 Median $3,467.37 Typical High $11,220.18 | Professional | 50 · Both sides | $2,754.23 | $3,467.37 | $11,220.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $933.25 Median $1,148.15 Typical High $3,715.35 | Professional | 51 · Multiple procedures | $933.25 | $1,148.15 | $3,715.35 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $371.54 Median $467.74 Typical High $1,479.11 | Professional | 80 · Assistant surgeon | $371.54 | $467.74 | $1,479.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $257.04 Median $323.59 Typical High $1,047.13 | Professional | 81 · Minimal assistant surgeon | $257.04 | $323.59 | $1,047.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $257.04 Median $323.59 Typical High $1,047.13 | Professional | 82 · Assistant surgeon, no resident | $257.04 | $323.59 | $1,047.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $257.04 Median $323.59 Typical High $1,047.13 | Professional | AS · PA/NP assist | $257.04 | $323.59 | $1,047.13 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | SH · Second concurrent infusion | $933.25 | $933.25 | $933.25 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | SJ · Third+ concurrent infusion | $933.25 | $933.25 | $933.25 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $1,479.11 Typical High $3,311.31 | Professional | TC · Technical part | $1,380.38 | $1,479.11 | $3,311.31 |
Where North Carolina sits
The same service costs 3.4 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· 16th of 51
$2,455
HI $4,266DE $1,259
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.