How much rates vary
Facilitymedian $1,380 · 10th to 90th $741 to $1,820Professionalmedian $1,862 · 10th to 90th $1,175 to $2,089
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $1,174.90 | $1,819.70 | $1,819.70 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,862.09 Typical High $2,511.89 | Professional | None (both parts) | $1,819.70 | $1,862.09 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Facility | None | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,000.00 | $1,380.38 | $1,380.38 |
Medcost Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Medcost Setting Facility Modifier None Typical Low $741.31 Median $1,819.70 Typical High $2,187.76 | Facility | None | $741.31 | $1,819.70 | $2,187.76 |
Medcost Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $1,862.09 Typical High $2,951.21 | Professional | None (both parts) | $1,862.09 | $1,862.09 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,230.27 Typical High $1,698.24 | Professional | None (both parts) | $933.25 | $1,230.27 | $1,698.24 |
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 $741.31 Median $741.31 Typical High $1,659.59 | Professional | 26 · Professional part | $741.31 | $741.31 | $1,659.59 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $2,754.23 Median $2,754.23 Typical High $8,317.64 | Professional | 50 · Both sides | $2,754.23 | $2,754.23 | $8,317.64 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $933.25 Median $933.25 Typical High $2,754.23 | Professional | 51 · Multiple procedures | $933.25 | $933.25 | $2,754.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $371.54 Median $371.54 Typical High $1,122.02 | Professional | 80 · Assistant surgeon | $371.54 | $371.54 | $1,122.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $257.04 Median $257.04 Typical High $776.25 | Professional | 81 · Minimal assistant surgeon | $257.04 | $257.04 | $776.25 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $257.04 Median $257.04 Typical High $776.25 | Professional | 82 · Assistant surgeon, no resident | $257.04 | $257.04 | $776.25 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $257.04 Median $257.04 Typical High $776.25 | Professional | AS · PA/NP assist | $257.04 | $257.04 | $776.25 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | SH · Second concurrent infusion | $933.25 | $933.25 | $933.25 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | SJ · Third+ concurrent infusion | $933.25 | $933.25 | $933.25 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,122.02 Typical High $2,454.71 | Professional | TC · Technical part | $1,122.02 | $1,122.02 | $2,454.71 |
Where North Carolina sits
The same service costs 2.5 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· 16th of 51
$1,862
MT $2,570DE $1,047
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.