How much rates vary
Facilitymedian $269 · 10th to 90th $120 to $309Professionalmedian $316 · 10th to 90th $200 to $347
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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $199.53 | $309.03 | $309.03 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $295.12 Median $316.23 Typical High $426.58 | Professional | None (both parts) | $295.12 | $316.23 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $194.98 | $269.15 | $269.15 |
Medcost Setting Professional Modifier None Typical Low $194.98 Median $208.93 Typical High $275.42 | Professional | None | $194.98 | $208.93 | $275.42 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $309.03 Typical High $371.54 | Facility | None | $120.23 | $309.03 | $371.54 |
Medcost Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $501.19 | Professional | None (both parts) | $302.00 | $302.00 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $158.49 | $208.93 | $281.84 |
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 $123.03 Median $125.89 Typical High $281.84 | Professional | 26 · Professional part | $123.03 | $125.89 | $281.84 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $457.09 Median $457.09 Typical High $1,412.54 | Professional | 50 · Both sides | $457.09 | $457.09 | $1,412.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $151.36 Median $151.36 Typical High $467.74 | Professional | 51 · Multiple procedures | $151.36 | $151.36 | $467.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $60.26 Median $60.26 Typical High $186.21 | Professional | 80 · Assistant surgeon | $60.26 | $60.26 | $186.21 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $42.66 Median $42.66 Typical High $131.83 | Professional | 81 · Minimal assistant surgeon | $42.66 | $42.66 | $131.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $42.66 Median $42.66 Typical High $131.83 | Professional | 82 · Assistant surgeon, no resident | $42.66 | $42.66 | $131.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $42.66 Median $42.66 Typical High $131.83 | Professional | AS · PA/NP assist | $42.66 | $42.66 | $131.83 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | SH · Second concurrent infusion | $151.36 | $151.36 | $151.36 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | SJ · Third+ concurrent infusion | $151.36 | $151.36 | $151.36 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $186.21 Typical High $416.87 | Professional | TC · Technical part | $181.97 | $186.21 | $416.87 |
Where North Carolina sits
The same service costs 2.6 times more in Kansas 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· 18th of 51
$316
KS $501DE $195
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.