How much rates vary
Facilitymedian $1,514 · 10th to 90th $776 to $1,862Professionalmedian $1,950 · 10th to 90th $1,175 to $2,138
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,862.09 Typical High $1,862.09 | Professional | None (both parts) | $1,412.54 | $1,862.09 | $1,862.09 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,949.84 Typical High $2,570.40 | Professional | None (both parts) | $1,479.11 | $1,949.84 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Facility | None | $1,513.56 | $1,513.56 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,513.56 Typical High $1,513.56 | Professional | None (both parts) | $1,122.02 | $1,513.56 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $1,949.84 | Professional | None | $1,230.27 | $1,348.96 | $1,949.84 |
Medcost Setting Facility Modifier None Typical Low $776.25 Median $1,380.38 Typical High $2,089.30 | Facility | None | $776.25 | $1,380.38 | $2,089.30 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,778.28 Typical High $3,019.95 | Professional | None (both parts) | $1,412.54 | $1,778.28 | $3,019.95 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,659.59 | Facility | None | $1,621.81 | $1,621.81 | $1,659.59 |
United Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,258.93 Typical High $1,819.70 | Professional | None (both parts) | $977.24 | $1,258.93 | $1,819.70 |
14 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $933.25 Typical High $933.25 | Professional | 52 · Reduced service | $707.95 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $380.19 Typical High $380.19 | Professional | 53 · Discontinued | $281.84 | $380.19 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $213.80 Median $281.84 Typical High $281.84 | Professional | 55 · Aftercare only | $213.80 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $141.25 Median $186.21 Typical High $186.21 | Professional | 56 · Pre-op care only | $141.25 | $186.21 | $186.21 |
Medcost Setting Professional Modifier 26 · Professional part Typical Low $707.95 Median $758.58 Typical High $1,698.24 | Professional | 26 · Professional part | $707.95 | $758.58 | $1,698.24 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,137.96 Median $2,691.53 Typical High $8,511.38 | Professional | 50 · Both sides | $2,137.96 | $2,691.53 | $8,511.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $707.95 Median $891.25 Typical High $2,884.03 | Professional | 51 · Multiple procedures | $707.95 | $891.25 | $2,884.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $281.84 Median $354.81 Typical High $1,148.15 | Professional | 80 · Assistant surgeon | $281.84 | $354.81 | $1,148.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $199.53 Median $251.19 Typical High $794.33 | Professional | 81 · Minimal assistant surgeon | $199.53 | $251.19 | $794.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $199.53 Median $251.19 Typical High $794.33 | Professional | 82 · Assistant surgeon, no resident | $199.53 | $251.19 | $794.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $199.53 Median $251.19 Typical High $794.33 | Professional | AS · PA/NP assist | $199.53 | $251.19 | $794.33 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | SH · Second concurrent infusion | $707.95 | $707.95 | $707.95 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | SJ · Third+ concurrent infusion | $707.95 | $707.95 | $707.95 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,148.15 Typical High $2,570.40 | Professional | TC · Technical part | $1,071.52 | $1,148.15 | $2,570.40 |
Where North Carolina sits
The same service costs 3.2 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· 19th of 51
$1,905
HI $3,890DE $1,202
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.