How much rates vary
Facilitymedian $12,882 · 10th to 90th $6,310 to $15,488Professionalmedian $15,849 · 10th to 90th $10,471 to $15,849
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 $15,488.17 Median $15,488.17 Typical High $15,488.17 | Facility | None | $15,488.17 | $15,488.17 | $15,488.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10,000.00 Median $15,488.17 Typical High $15,488.17 | Professional | None (both parts) | $10,000.00 | $15,488.17 | $15,488.17 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $15,488.17 Median $15,848.93 Typical High $15,848.93 | Professional | None (both parts) | $15,488.17 | $15,848.93 | $15,848.93 |
Cigna Setting Facility Modifier None Typical Low $12,882.50 Median $12,882.50 Typical High $12,882.50 | Facility | None | $12,882.50 | $12,882.50 | $12,882.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $9,332.54 Median $12,882.50 Typical High $12,882.50 | Professional | None (both parts) | $9,332.54 | $12,882.50 | $12,882.50 |
Medcost Setting Professional Modifier None Typical Low $15,488.17 Median $15,488.17 Typical High $15,488.17 | Professional | None | $15,488.17 | $15,488.17 | $15,488.17 |
Medcost Setting Facility Modifier None Typical Low $6,309.57 Median $15,488.17 Typical High $18,620.87 | Facility | None | $6,309.57 | $15,488.17 | $18,620.87 |
Medcost Setting Professional Modifier None (both parts) Typical Low $15,848.93 Median $15,848.93 Typical High $25,118.86 | Professional | None (both parts) | $15,848.93 | $15,848.93 | $25,118.86 |
United Setting Professional Modifier None (both parts) Typical Low $7,943.28 Median $10,471.29 Typical High $14,454.40 | Professional | None (both parts) | $7,943.28 | $10,471.29 | $14,454.40 |
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 $6,309.57 Median $6,309.57 Typical High $14,125.38 | Professional | 26 · Professional part | $6,309.57 | $6,309.57 | $14,125.38 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $23,442.29 Median $23,442.29 Typical High $70,794.58 | Professional | 50 · Both sides | $23,442.29 | $23,442.29 | $70,794.58 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7,762.47 Median $7,762.47 Typical High $23,442.29 | Professional | 51 · Multiple procedures | $7,762.47 | $7,762.47 | $23,442.29 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3,162.28 Median $3,162.28 Typical High $9,332.54 | Professional | 80 · Assistant surgeon | $3,162.28 | $3,162.28 | $9,332.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2,187.76 Median $2,187.76 Typical High $6,606.93 | Professional | 81 · Minimal assistant surgeon | $2,187.76 | $2,187.76 | $6,606.93 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2,187.76 Median $2,187.76 Typical High $6,606.93 | Professional | 82 · Assistant surgeon, no resident | $2,187.76 | $2,187.76 | $6,606.93 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2,187.76 Median $2,187.76 Typical High $6,606.93 | Professional | AS · PA/NP assist | $2,187.76 | $2,187.76 | $6,606.93 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | SH · Second concurrent infusion | $7,762.47 | $7,762.47 | $7,762.47 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | SJ · Third+ concurrent infusion | $7,762.47 | $7,762.47 | $7,762.47 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $9,332.54 Median $9,332.54 Typical High $20,892.96 | Professional | TC · Technical part | $9,332.54 | $9,332.54 | $20,892.96 |
Where North Carolina sits
The same service costs 2.3 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· 19th of 51
$15,849
MT $21,878DE $9,333
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.