How much rates vary
Facilitymedian $977 · 10th to 90th $447 to $1,122Professionalmedian $1,148 · 10th to 90th $708 to $1,259
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 $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,122.02 Typical High $1,122.02 | Professional | None (both parts) | $707.95 | $1,122.02 | $1,122.02 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,148.15 Typical High $1,548.82 | Professional | None (both parts) | $1,096.48 | $1,148.15 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $977.24 Typical High $977.24 | Professional | None (both parts) | $707.95 | $977.24 | $977.24 |
Medcost Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $446.68 Median $1,122.02 Typical High $1,348.96 | Facility | None | $446.68 | $1,122.02 | $1,348.96 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,819.70 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $575.44 Median $741.31 Typical High $1,023.29 | Professional | None (both parts) | $575.44 | $741.31 | $1,023.29 |
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 $446.68 Median $446.68 Typical High $1,000.00 | Professional | 26 · Professional part | $446.68 | $446.68 | $1,000.00 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,698.24 Median $1,698.24 Typical High $5,128.61 | Professional | 50 · Both sides | $1,698.24 | $1,698.24 | $5,128.61 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $562.34 Median $562.34 Typical High $1,698.24 | Professional | 51 · Multiple procedures | $562.34 | $562.34 | $1,698.24 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $223.87 Median $223.87 Typical High $676.08 | Professional | 80 · Assistant surgeon | $223.87 | $223.87 | $676.08 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $158.49 Median $158.49 Typical High $478.63 | Professional | 81 · Minimal assistant surgeon | $158.49 | $158.49 | $478.63 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $158.49 Median $158.49 Typical High $478.63 | Professional | 82 · Assistant surgeon, no resident | $158.49 | $158.49 | $478.63 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $158.49 Median $158.49 Typical High $478.63 | Professional | AS · PA/NP assist | $158.49 | $158.49 | $478.63 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | SH · Second concurrent infusion | $562.34 | $562.34 | $562.34 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | SJ · Third+ concurrent infusion | $562.34 | $562.34 | $562.34 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $676.08 Typical High $1,513.56 | Professional | TC · Technical part | $676.08 | $676.08 | $1,513.56 |
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
$1,148
MT $1,585DE $708
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.