How much rates vary
Facilitymedian $1,230 · 10th to 90th $631 to $1,622Professionalmedian $1,698 · 10th to 90th $1,047 to $1,862
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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,621.81 Typical High $1,621.81 | Professional | None (both parts) | $1,047.13 | $1,621.81 | $1,621.81 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,698.24 Typical High $2,238.72 | Professional | None (both parts) | $1,288.25 | $1,698.24 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $891.25 | $1,230.27 | $1,230.27 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,096.48 Typical High $1,412.54 | Professional | None | $1,023.29 | $1,096.48 | $1,412.54 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $1,202.26 Typical High $1,819.70 | Facility | None | $630.96 | $1,202.26 | $1,819.70 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,548.82 Typical High $2,630.27 | Professional | None (both parts) | $1,230.27 | $1,548.82 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,096.48 Typical High $1,513.56 | Professional | None (both parts) | $831.76 | $1,096.48 | $1,513.56 |
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 $616.60 Median $660.69 Typical High $1,479.11 | Professional | 26 · Professional part | $616.60 | $660.69 | $1,479.11 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,862.09 Median $2,344.23 Typical High $7,413.10 | Professional | 50 · Both sides | $1,862.09 | $2,344.23 | $7,413.10 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $616.60 Median $776.25 Typical High $2,511.89 | Professional | 51 · Multiple procedures | $616.60 | $776.25 | $2,511.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $245.47 Median $309.03 Typical High $1,000.00 | Professional | 80 · Assistant surgeon | $245.47 | $309.03 | $1,000.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $173.78 Median $218.78 Typical High $691.83 | Professional | 81 · Minimal assistant surgeon | $173.78 | $218.78 | $691.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $173.78 Median $218.78 Typical High $691.83 | Professional | 82 · Assistant surgeon, no resident | $173.78 | $218.78 | $691.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $173.78 Median $218.78 Typical High $691.83 | Professional | AS · PA/NP assist | $173.78 | $218.78 | $691.83 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | SH · Second concurrent infusion | $616.60 | $616.60 | $616.60 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | SJ · Third+ concurrent infusion | $616.60 | $616.60 | $616.60 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,000.00 Typical High $2,238.72 | Professional | TC · Technical part | $933.25 | $1,000.00 | $2,238.72 |
Where North Carolina sits
The same service costs 2.4 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 $2,239DE $933
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.