How much rates vary
Facilitymedian $324 · 10th to 90th $135 to $324Professionalmedian $324 · 10th to 90th $209 to $355
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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $218.78 | $309.03 | $309.03 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $309.03 Median $323.59 Typical High $426.58 | Professional | None (both parts) | $309.03 | $323.59 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $239.88 | $323.59 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $223.87 Median $239.88 Typical High $281.84 | Professional | None | $223.87 | $239.88 | $281.84 |
Medcost Setting Facility Modifier None Typical Low $134.90 Median $218.78 Typical High $346.74 | Facility | None | $134.90 | $218.78 | $346.74 |
Medcost Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $501.19 | Professional | None (both parts) | $309.03 | $309.03 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $208.93 Typical High $316.23 | Professional | None (both parts) | $162.18 | $208.93 | $316.23 |
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 $123.03 Median $125.89 Typical High $281.84 | Professional | 26 · Professional part | $123.03 | $125.89 | $281.84 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $457.09 Median $457.09 Typical High $1,412.54 | Professional | 50 · Both sides | $457.09 | $457.09 | $1,412.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $154.88 Median $154.88 Typical High $467.74 | Professional | 51 · Multiple procedures | $154.88 | $154.88 | $467.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $61.66 Median $61.66 Typical High $190.55 | Professional | 80 · Assistant surgeon | $61.66 | $61.66 | $190.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $42.66 Median $42.66 Typical High $131.83 | Professional | 81 · Minimal assistant surgeon | $42.66 | $42.66 | $131.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $42.66 Median $42.66 Typical High $131.83 | Professional | 82 · Assistant surgeon, no resident | $42.66 | $42.66 | $131.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $42.66 Median $42.66 Typical High $131.83 | Professional | AS · PA/NP assist | $42.66 | $42.66 | $131.83 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | SH · Second concurrent infusion | $154.88 | $154.88 | $154.88 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | SJ · Third+ concurrent infusion | $154.88 | $154.88 | $154.88 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $190.55 Typical High $426.58 | Professional | TC · Technical part | $181.97 | $190.55 | $426.58 |
Where North Carolina sits
The same service costs 2.6 times more in Hawaii than in Washington, DC. 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
$324
HI $603DC $234
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.