How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 |
|---|---|---|---|---|---|
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $2,754.23 Typical High $3,467.37 | Professional | None (both parts) | $2,754.23 | $2,754.23 | $3,467.37 |
Medcost Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $1,174.90 | Professional | None | $831.76 | $912.01 | $1,174.90 |
Medcost Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,258.93 Typical High $2,137.96 | Professional | None (both parts) | $1,000.00 | $1,258.93 | $2,137.96 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,513.56 Median $1,862.09 Typical High $6,025.60 | Professional | 50 · Both sides | $1,513.56 | $1,862.09 | $6,025.60 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $501.19 Median $616.60 Typical High $1,995.26 | Professional | 51 · Multiple procedures | $501.19 | $616.60 | $1,995.26 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $199.53 Median $251.19 Typical High $794.33 | Professional | 80 · Assistant surgeon | $199.53 | $251.19 | $794.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $141.25 Median $173.78 Typical High $562.34 | Professional | 81 · Minimal assistant surgeon | $141.25 | $173.78 | $562.34 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $141.25 Median $173.78 Typical High $562.34 | Professional | 82 · Assistant surgeon, no resident | $141.25 | $173.78 | $562.34 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $141.25 Median $173.78 Typical High $562.34 | Professional | AS · PA/NP assist | $141.25 | $173.78 | $562.34 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,258.93 | Facility | None | $1,174.90 | $1,174.90 | $1,258.93 |
4 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 $501.19 Median $537.03 Typical High $1,202.26 | Professional | 26 · Professional part | $501.19 | $537.03 | $1,202.26 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | SH · Second concurrent infusion | $501.19 | $501.19 | $501.19 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | SJ · Third+ concurrent infusion | $501.19 | $501.19 | $501.19 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $794.33 Typical High $1,778.28 | Professional | TC · Technical part | $741.31 | $794.33 | $1,778.28 |
Where North Carolina sits
The same service costs 18.2 times more in Texas than in Florida. 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· 45th of 51
$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.