How much rates vary
Facilitymedian $105 · 10th to 90th $38 to $110Professionalmedian $102 · 10th to 90th $66 to $107
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 $67.61 Median $97.72 Typical High $97.72 | Facility | None | $67.61 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $63.10 | $97.72 | $97.72 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
BCBS North Carolina Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $131.83 | Facility | None | $109.65 | $109.65 | $131.83 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $107.15 | Professional | None (both parts) | $87.10 | $102.33 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $89.13 | $104.71 | $104.71 |
Medcost Setting Professional Modifier None Typical Low $61.66 Median $66.07 Typical High $85.11 | Professional | None | $61.66 | $66.07 | $85.11 |
Medcost Setting Facility Modifier None Typical Low $38.02 Median $72.44 Typical High $109.65 | Facility | None | $38.02 | $72.44 | $109.65 |
Medcost Setting Professional Modifier None (both parts) Typical Low $74.13 Median $93.33 Typical High $158.49 | Professional | None (both parts) | $74.13 | $93.33 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $66.07 Typical High $91.20 | Professional | None (both parts) | $50.12 | $66.07 | $91.20 |
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 $38.02 Median $39.81 Typical High $89.13 | Professional | 26 · Professional part | $38.02 | $39.81 | $89.13 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $112.20 Median $141.25 Typical High $446.68 | Professional | 50 · Both sides | $112.20 | $141.25 | $446.68 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $37.15 Median $46.77 Typical High $151.36 | Professional | 51 · Multiple procedures | $37.15 | $46.77 | $151.36 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.79 Median $18.62 Typical High $60.26 | Professional | 80 · Assistant surgeon | $14.79 | $18.62 | $60.26 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.47 Median $13.18 Typical High $41.69 | Professional | 81 · Minimal assistant surgeon | $10.47 | $13.18 | $41.69 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.47 Median $13.18 Typical High $41.69 | Professional | 82 · Assistant surgeon, no resident | $10.47 | $13.18 | $41.69 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.47 Median $13.18 Typical High $41.69 | Professional | AS · PA/NP assist | $10.47 | $13.18 | $41.69 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | SH · Second concurrent infusion | $37.15 | $37.15 | $37.15 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | SJ · Third+ concurrent infusion | $37.15 | $37.15 | $37.15 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $60.26 Typical High $134.90 | Professional | TC · Technical part | $56.23 | $60.26 | $134.90 |
Where North Carolina sits
The same service costs 2.0 times more in Montana than in Kentucky. 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· 21st of 51
$102
MT $141KY $70.79
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.