How much rates vary
Facilitymedian $513 · 10th to 90th $263 to $617Professionalmedian $646 · 10th to 90th $417 to $676
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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $467.74 | $616.60 | $616.60 |
BCBS North Carolina Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $831.76 | Facility | None | $691.83 | $691.83 | $831.76 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $588.84 Median $645.65 Typical High $676.08 | Professional | None (both parts) | $588.84 | $645.65 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $436.52 | $512.86 | $512.86 |
Medcost Setting Professional Modifier None Typical Low $436.52 Median $467.74 Typical High $630.96 | Professional | None | $436.52 | $467.74 | $630.96 |
Medcost Setting Facility Modifier None Typical Low $263.03 Median $416.87 Typical High $691.83 | Facility | None | $263.03 | $416.87 | $691.83 |
Medcost Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $1,000.00 | Professional | None (both parts) | $588.84 | $588.84 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $416.87 Typical High $616.60 | Professional | None (both parts) | $323.59 | $416.87 | $616.60 |
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 $234.42 Median $251.19 Typical High $562.34 | Professional | 26 · Professional part | $234.42 | $251.19 | $562.34 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $870.96 Typical High $2,818.38 | Professional | 50 · Both sides | $870.96 | $870.96 | $2,818.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $295.12 Median $295.12 Typical High $954.99 | Professional | 51 · Multiple procedures | $295.12 | $295.12 | $954.99 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $117.49 Median $117.49 Typical High $380.19 | Professional | 80 · Assistant surgeon | $117.49 | $117.49 | $380.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $81.28 Typical High $263.03 | Professional | 81 · Minimal assistant surgeon | $81.28 | $81.28 | $263.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $81.28 Typical High $263.03 | Professional | 82 · Assistant surgeon, no resident | $81.28 | $81.28 | $263.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $81.28 Typical High $263.03 | Professional | AS · PA/NP assist | $81.28 | $81.28 | $263.03 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | SH · Second concurrent infusion | $295.12 | $295.12 | $295.12 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | SJ · Third+ concurrent infusion | $295.12 | $295.12 | $295.12 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $380.19 Typical High $851.14 | Professional | TC · Technical part | $354.81 | $380.19 | $851.14 |
Where North Carolina sits
The same service costs 3.0 times more in Wisconsin than in New York. 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
$646
WI $1,023NY $347
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.