How much rates vary
Facilitymedian $229 · 10th to 90th $102 to $269Professionalmedian $275 · 10th to 90th $170 to $302
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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $169.82 | $269.15 | $269.15 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $371.54 | Professional | None (both parts) | $251.19 | $275.42 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $169.82 | $229.09 | $229.09 |
Medcost Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $234.42 | Professional | None | $165.96 | $181.97 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $102.33 Median $269.15 Typical High $323.59 | Facility | None | $102.33 | $269.15 | $323.59 |
Medcost Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $436.52 | Professional | None (both parts) | $263.03 | $263.03 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $177.83 Typical High $245.47 | Professional | None (both parts) | $138.04 | $177.83 | $245.47 |
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 $104.71 Median $107.15 Typical High $239.88 | Professional | 26 · Professional part | $104.71 | $107.15 | $239.88 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $398.11 Median $398.11 Typical High $1,230.27 | Professional | 50 · Both sides | $398.11 | $398.11 | $1,230.27 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $131.83 Median $131.83 Typical High $407.38 | Professional | 51 · Multiple procedures | $131.83 | $131.83 | $407.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $52.48 Median $52.48 Typical High $162.18 | Professional | 80 · Assistant surgeon | $52.48 | $52.48 | $162.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $37.15 Median $37.15 Typical High $114.82 | Professional | 81 · Minimal assistant surgeon | $37.15 | $37.15 | $114.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $37.15 Median $37.15 Typical High $114.82 | Professional | 82 · Assistant surgeon, no resident | $37.15 | $37.15 | $114.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $37.15 Median $37.15 Typical High $114.82 | Professional | AS · PA/NP assist | $37.15 | $37.15 | $114.82 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | SH · Second concurrent infusion | $131.83 | $131.83 | $131.83 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | SJ · Third+ concurrent infusion | $131.83 | $131.83 | $131.83 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $162.18 Typical High $363.08 | Professional | TC · Technical part | $158.49 | $162.18 | $363.08 |
Where North Carolina sits
The same service costs 2.2 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
$269
MT $380DE $170
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.