How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,950 to $4,677Professionalmedian $4,898 · 10th to 90th $3,020 to $5,370
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 $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $4,677.35 Typical High $4,677.35 | Professional | None (both parts) | $2,951.21 | $4,677.35 | $4,677.35 |
BCBS North Carolina Setting Facility Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $6,309.57 | Facility | None | $5,248.07 | $5,248.07 | $6,309.57 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $3,715.35 Median $4,897.79 Typical High $6,456.54 | Professional | None (both parts) | $3,715.35 | $4,897.79 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Facility | None | $3,801.89 | $3,801.89 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $3,801.89 Typical High $3,801.89 | Professional | None (both parts) | $2,754.23 | $3,801.89 | $3,801.89 |
Medcost Setting Professional Modifier None Typical Low $3,388.44 Median $3,630.78 Typical High $4,073.80 | Professional | None | $3,388.44 | $3,630.78 | $4,073.80 |
Medcost Setting Facility Modifier None Typical Low $1,949.84 Median $3,467.37 Typical High $5,248.07 | Facility | None | $1,949.84 | $3,467.37 | $5,248.07 |
Medcost Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $4,466.84 Typical High $7,585.78 | Professional | None (both parts) | $3,548.13 | $4,466.84 | $7,585.78 |
United Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $3,162.28 Typical High $4,570.88 | Professional | None (both parts) | $2,454.71 | $3,162.28 | $4,570.88 |
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 $1,778.28 Median $1,905.46 Typical High $4,265.80 | Professional | 26 · Professional part | $1,778.28 | $1,905.46 | $4,265.80 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $5,370.32 Median $6,606.93 Typical High $11,481.54 | Professional | 50 · Both sides | $5,370.32 | $6,606.93 | $11,481.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,778.28 Median $2,238.72 Typical High $7,244.36 | Professional | 51 · Multiple procedures | $1,778.28 | $2,238.72 | $7,244.36 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $707.95 Median $891.25 Typical High $2,884.03 | Professional | 80 · Assistant surgeon | $707.95 | $891.25 | $2,884.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $501.19 Median $616.60 Typical High $1,995.26 | Professional | 81 · Minimal assistant surgeon | $501.19 | $616.60 | $1,995.26 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $501.19 Median $616.60 Typical High $1,995.26 | Professional | 82 · Assistant surgeon, no resident | $501.19 | $616.60 | $1,995.26 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $501.19 Median $616.60 Typical High $1,995.26 | Professional | AS · PA/NP assist | $501.19 | $616.60 | $1,995.26 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | SH · Second concurrent infusion | $1,778.28 | $1,778.28 | $1,778.28 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | SJ · Third+ concurrent infusion | $1,778.28 | $1,778.28 | $1,778.28 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $2,691.53 Median $2,884.03 Typical High $6,456.54 | Professional | TC · Technical part | $2,691.53 | $2,884.03 | $6,456.54 |
Where North Carolina sits
The same service costs 4.7 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· 18th of 51
$4,786
HI $12,882DE $2,754
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.