How much rates vary
Facilitymedian $31 · 10th to 90th $31 to $35Professionalmedian $36 · 10th to 90th $23 to $39
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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $22.91 | $35.48 | $35.48 |
BCBS North Carolina Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $46.77 | Facility | None | $38.90 | $38.90 | $46.77 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $36.31 Typical High $38.90 | Professional | None (both parts) | $35.48 | $36.31 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $22.39 | $30.90 | $30.90 |
Medcost Setting Facility Modifier None Typical Low $30.90 Median $35.48 Typical High $42.66 | Facility | None | $30.90 | $35.48 | $42.66 |
Medcost Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $57.54 | Professional | None (both parts) | $35.48 | $35.48 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $18.20 Median $23.99 Typical High $33.88 | Professional | None (both parts) | $18.20 | $23.99 | $33.88 |
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 $14.13 Median $14.13 Typical High $31.62 | Professional | 26 · Professional part | $14.13 | $14.13 | $31.62 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $53.70 Median $53.70 Typical High $162.18 | Professional | 50 · Both sides | $53.70 | $53.70 | $162.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $17.78 Median $17.78 Typical High $53.70 | Professional | 51 · Multiple procedures | $17.78 | $17.78 | $53.70 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.08 Median $7.08 Typical High $21.38 | Professional | 80 · Assistant surgeon | $7.08 | $7.08 | $21.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.01 Median $5.01 Typical High $15.14 | Professional | 81 · Minimal assistant surgeon | $5.01 | $5.01 | $15.14 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.01 Median $5.01 Typical High $15.14 | Professional | 82 · Assistant surgeon, no resident | $5.01 | $5.01 | $15.14 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.01 Median $5.01 Typical High $15.14 | Professional | AS · PA/NP assist | $5.01 | $5.01 | $15.14 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | SH · Second concurrent infusion | $17.78 | $17.78 | $17.78 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | SJ · Third+ concurrent infusion | $17.78 | $17.78 | $17.78 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $47.86 | Professional | TC · Technical part | $21.38 | $21.38 | $47.86 |
Where North Carolina sits
The same service costs 2.2 times more in Montana than in Vermont. 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
$36.31
MT $50.12VT $22.39
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.