How much rates vary
Facilitymedian $288 · 10th to 90th $129 to $331Professionalmedian $339 · 10th to 90th $214 to $380
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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $208.93 | $331.13 | $331.13 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $316.23 Median $338.84 Typical High $457.09 | Professional | None (both parts) | $316.23 | $338.84 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $208.93 | $288.40 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $295.12 | Professional | None | $208.93 | $223.87 | $295.12 |
Medcost Setting Facility Modifier None Typical Low $128.82 Median $331.13 Typical High $398.11 | Facility | None | $128.82 | $331.13 | $398.11 |
Medcost Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $537.03 | Professional | None (both parts) | $323.59 | $323.59 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $302.00 | Professional | None (both parts) | $169.82 | $223.87 | $302.00 |
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 $131.83 Median $134.90 Typical High $302.00 | Professional | 26 · Professional part | $131.83 | $134.90 | $302.00 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $489.78 Median $489.78 Typical High $1,513.56 | Professional | 50 · Both sides | $489.78 | $489.78 | $1,513.56 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $162.18 Median $162.18 Typical High $501.19 | Professional | 51 · Multiple procedures | $162.18 | $162.18 | $501.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $66.07 Median $66.07 Typical High $204.17 | Professional | 80 · Assistant surgeon | $66.07 | $66.07 | $204.17 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $45.71 Median $45.71 Typical High $141.25 | Professional | 81 · Minimal assistant surgeon | $45.71 | $45.71 | $141.25 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $45.71 Median $45.71 Typical High $141.25 | Professional | 82 · Assistant surgeon, no resident | $45.71 | $45.71 | $141.25 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $45.71 Median $45.71 Typical High $141.25 | Professional | AS · PA/NP assist | $45.71 | $45.71 | $141.25 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | SH · Second concurrent infusion | $162.18 | $162.18 | $162.18 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | SJ · Third+ concurrent infusion | $162.18 | $162.18 | $162.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $199.53 Typical High $446.68 | Professional | TC · Technical part | $194.98 | $199.53 | $446.68 |
Where North Carolina sits
The same service costs 2.4 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
$339
KS $501DE $209
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.