How much rates vary
Facilitymedian $2,951 · 10th to 90th $1,318 to $3,388Professionalmedian $3,467 · 10th to 90th $2,188 to $3,890
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 $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $3,388.44 Typical High $3,388.44 | Professional | None (both parts) | $2,137.96 | $3,388.44 | $3,388.44 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,467.37 Typical High $4,677.35 | Professional | None (both parts) | $3,388.44 | $3,467.37 | $4,677.35 |
Cigna Setting Facility Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,951.21 Typical High $2,951.21 | Professional | None (both parts) | $2,137.96 | $2,951.21 | $2,951.21 |
Medcost Setting Professional Modifier None Typical Low $2,137.96 Median $2,290.87 Typical High $3,019.95 | Professional | None | $2,137.96 | $2,290.87 | $3,019.95 |
Medcost Setting Facility Modifier None Typical Low $1,318.26 Median $3,388.44 Typical High $4,073.80 | Facility | None | $1,318.26 | $3,388.44 | $4,073.80 |
Medcost Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $5,495.41 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $5,495.41 |
United Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,290.87 Typical High $3,090.30 | Professional | None (both parts) | $1,737.80 | $2,290.87 | $3,090.30 |
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 $1,380.38 Median $1,380.38 Typical High $3,090.30 | Professional | 26 · Professional part | $1,380.38 | $1,380.38 | $3,090.30 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $5,128.61 Median $5,128.61 Typical High $15,488.17 | Professional | 50 · Both sides | $5,128.61 | $5,128.61 | $15,488.17 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,698.24 Median $1,698.24 Typical High $5,128.61 | Professional | 51 · Multiple procedures | $1,698.24 | $1,698.24 | $5,128.61 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $691.83 Median $691.83 Typical High $2,041.74 | Professional | 80 · Assistant surgeon | $691.83 | $691.83 | $2,041.74 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $478.63 Median $478.63 Typical High $1,445.44 | Professional | 81 · Minimal assistant surgeon | $478.63 | $478.63 | $1,445.44 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $478.63 Median $478.63 Typical High $1,445.44 | Professional | 82 · Assistant surgeon, no resident | $478.63 | $478.63 | $1,445.44 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $478.63 Median $478.63 Typical High $1,445.44 | Professional | AS · PA/NP assist | $478.63 | $478.63 | $1,445.44 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | SH · Second concurrent infusion | $1,698.24 | $1,698.24 | $1,698.24 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | SJ · Third+ concurrent infusion | $1,698.24 | $1,698.24 | $1,698.24 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $2,041.74 Median $2,041.74 Typical High $4,570.88 | Professional | TC · Technical part | $2,041.74 | $2,041.74 | $4,570.88 |
Where North Carolina sits
The same service costs 2.2 times more in Montana 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· 18th of 51
$3,467
MT $4,786FL $2,138
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.