How much rates vary
Facilitymedian $2,291 · 10th to 90th $871 to $2,399Professionalmedian $2,138 · 10th to 90th $1,413 to $2,399
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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $2,089.30 Typical High $2,089.30 | Professional | None (both parts) | $1,318.26 | $2,089.30 | $2,089.30 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,818.38 | Facility | None | $2,344.23 | $2,344.23 | $2,818.38 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $2,137.96 Typical High $2,884.03 | Professional | None (both parts) | $1,995.26 | $2,137.96 | $2,884.03 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $2,290.87 Typical High $2,290.87 | Professional | None (both parts) | $1,659.59 | $2,290.87 | $2,290.87 |
Medcost Setting Professional Modifier None Typical Low $1,548.82 Median $1,698.24 Typical High $1,819.70 | Professional | None | $1,548.82 | $1,698.24 | $1,819.70 |
Medcost Setting Facility Modifier None Typical Low $870.96 Median $2,089.30 Typical High $2,511.89 | Facility | None | $870.96 | $2,089.30 | $2,511.89 |
Medcost Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,089.30 Typical High $3,388.44 | Professional | None (both parts) | $2,089.30 | $2,089.30 | $3,388.44 |
United Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,412.54 Typical High $1,995.26 | Professional | None (both parts) | $1,071.52 | $1,412.54 | $1,995.26 |
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 $831.76 Median $851.14 Typical High $1,905.46 | Professional | 26 · Professional part | $831.76 | $851.14 | $1,905.46 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $3,090.30 Median $3,090.30 Typical High $9,549.93 | Professional | 50 · Both sides | $3,090.30 | $3,090.30 | $9,549.93 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,023.29 Median $1,023.29 Typical High $3,162.28 | Professional | 51 · Multiple procedures | $1,023.29 | $1,023.29 | $3,162.28 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $416.87 Median $416.87 Typical High $1,288.25 | Professional | 80 · Assistant surgeon | $416.87 | $416.87 | $1,288.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $288.40 Median $288.40 Typical High $891.25 | Professional | 81 · Minimal assistant surgeon | $288.40 | $288.40 | $891.25 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $288.40 Median $288.40 Typical High $891.25 | Professional | 82 · Assistant surgeon, no resident | $288.40 | $288.40 | $891.25 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $288.40 Median $288.40 Typical High $891.25 | Professional | AS · PA/NP assist | $288.40 | $288.40 | $891.25 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | SH · Second concurrent infusion | $1,023.29 | $1,023.29 | $1,023.29 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | SJ · Third+ concurrent infusion | $1,023.29 | $1,023.29 | $1,023.29 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,288.25 Typical High $2,818.38 | Professional | TC · Technical part | $1,230.27 | $1,288.25 | $2,818.38 |
Where North Carolina sits
The same service costs 3.2 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· 20th of 51
$2,138
HI $4,677DC $1,479
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.