How much rates vary
Facilitymedian $525 · 10th to 90th $245 to $603Professionalmedian $631 · 10th to 90th $389 to $692
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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $389.05 | $602.56 | $602.56 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $602.56 Median $630.96 Typical High $831.76 | Professional | None (both parts) | $602.56 | $630.96 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $380.19 | $524.81 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $602.56 Typical High $724.44 | Facility | None | $245.47 | $602.56 | $724.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $977.24 | Professional | None (both parts) | $616.60 | $616.60 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $407.38 Typical High $562.34 | Professional | None (both parts) | $309.03 | $407.38 | $562.34 |
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 $245.47 Median $245.47 Typical High $549.54 | Professional | 26 · Professional part | $245.47 | $245.47 | $549.54 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $912.01 Median $912.01 Typical High $2,754.23 | Professional | 50 · Both sides | $912.01 | $912.01 | $2,754.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $309.03 Median $309.03 Typical High $912.01 | Professional | 51 · Multiple procedures | $309.03 | $309.03 | $912.01 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $123.03 Median $123.03 Typical High $371.54 | Professional | 80 · Assistant surgeon | $123.03 | $123.03 | $371.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $85.11 Median $85.11 Typical High $257.04 | Professional | 81 · Minimal assistant surgeon | $85.11 | $85.11 | $257.04 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $85.11 Median $85.11 Typical High $257.04 | Professional | 82 · Assistant surgeon, no resident | $85.11 | $85.11 | $257.04 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $85.11 Median $85.11 Typical High $257.04 | Professional | AS · PA/NP assist | $85.11 | $85.11 | $257.04 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | SH · Second concurrent infusion | $309.03 | $309.03 | $309.03 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | SJ · Third+ concurrent infusion | $309.03 | $309.03 | $309.03 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $831.76 | Professional | TC · Technical part | $371.54 | $371.54 | $831.76 |
Where North Carolina sits
The same service costs 2.3 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· 15th of 51
$631
MT $871DE $380
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.