How much rates vary
Facilitymedian $759 · 10th to 90th $324 to $794Professionalmedian $776 · 10th to 90th $501 to $851
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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $501.19 | $758.58 | $758.58 |
BCBS Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $1,000.00 | Facility | None | $831.76 | $831.76 | $1,000.00 |
BCBS Setting Professional Modifier None (both parts) Typical Low $741.31 Median $776.25 Typical High $1,023.29 | Professional | None (both parts) | $741.31 | $776.25 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $562.34 | $758.58 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $537.03 Median $575.44 Typical High $676.08 | Professional | None | $537.03 | $575.44 | $676.08 |
Medcost Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $831.76 | Facility | None | $323.59 | $524.81 | $831.76 |
Medcost Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $1,202.26 | Professional | None (both parts) | $741.31 | $741.31 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $501.19 Typical High $758.58 | Professional | None (both parts) | $389.05 | $501.19 | $758.58 |
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 $295.12 Median $302.00 Typical High $676.08 | Professional | 26 · Professional part | $295.12 | $302.00 | $676.08 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,096.48 Median $1,096.48 Typical High $3,388.44 | Professional | 50 · Both sides | $1,096.48 | $1,096.48 | $3,388.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $371.54 Median $371.54 Typical High $1,148.15 | Professional | 51 · Multiple procedures | $371.54 | $371.54 | $1,148.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $147.91 Median $147.91 Typical High $457.09 | Professional | 80 · Assistant surgeon | $147.91 | $147.91 | $457.09 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $102.33 Median $102.33 Typical High $316.23 | Professional | 81 · Minimal assistant surgeon | $102.33 | $102.33 | $316.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $102.33 Median $102.33 Typical High $316.23 | Professional | 82 · Assistant surgeon, no resident | $102.33 | $102.33 | $316.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $102.33 Median $102.33 Typical High $316.23 | Professional | AS · PA/NP assist | $102.33 | $102.33 | $316.23 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | SH · Second concurrent infusion | $371.54 | $371.54 | $371.54 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | SJ · Third+ concurrent infusion | $371.54 | $371.54 | $371.54 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $457.09 Typical High $1,023.29 | Professional | TC · Technical part | $446.68 | $457.09 | $1,023.29 |
Where North Carolina sits
The same service costs 2.8 times more in Hawaii than in Oklahoma. 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
$776
HI $1,585OK $562
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.