How much rates vary
Facilitymedian $11 · 10th to 90th $6 to $15Professionalmedian $15 · 10th to 90th $10 to $17
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 $10.96 Median $15.14 Typical High $15.14 | Facility | None | $10.96 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $9.77 Median $15.14 Typical High $15.14 | Professional | None (both parts) | $9.77 | $15.14 | $15.14 |
BCBS North Carolina Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $19.95 | Facility | None | $16.60 | $16.60 | $19.95 |
BCBS North Carolina Setting Professional Modifier None (both parts) Typical Low $15.14 Median $15.49 Typical High $16.98 | Professional | None (both parts) | $15.14 | $15.49 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Cigna Setting Professional Modifier None (both parts) Typical Low $9.55 Median $11.22 Typical High $11.22 | Professional | None (both parts) | $9.55 | $11.22 | $11.22 |
Medcost Setting Professional Modifier None Typical Low $9.33 Median $10.23 Typical High $13.18 | Professional | None | $9.33 | $10.23 | $13.18 |
Medcost Setting Facility Modifier None Typical Low $5.75 Median $10.47 Typical High $16.60 | Facility | None | $5.75 | $10.47 | $16.60 |
Medcost Setting Professional Modifier None (both parts) Typical Low $14.79 Median $14.79 Typical High $24.55 | Professional | None (both parts) | $14.79 | $14.79 | $24.55 |
United Setting Professional Modifier None (both parts) Typical Low $7.76 Median $10.00 Typical High $13.80 | Professional | None (both parts) | $7.76 | $10.00 | $13.80 |
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 $5.89 Median $6.03 Typical High $13.49 | Professional | 26 · Professional part | $5.89 | $6.03 | $13.49 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $22.39 Median $22.39 Typical High $69.18 | Professional | 50 · Both sides | $22.39 | $22.39 | $69.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.41 Median $7.41 Typical High $22.91 | Professional | 51 · Multiple procedures | $7.41 | $7.41 | $22.91 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.95 Median $2.95 Typical High $9.12 | Professional | 80 · Assistant surgeon | $2.95 | $2.95 | $9.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.09 Median $2.09 Typical High $6.46 | Professional | 81 · Minimal assistant surgeon | $2.09 | $2.09 | $6.46 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.09 Median $2.09 Typical High $6.46 | Professional | 82 · Assistant surgeon, no resident | $2.09 | $2.09 | $6.46 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.09 Median $2.09 Typical High $6.46 | Professional | AS · PA/NP assist | $2.09 | $2.09 | $6.46 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | SH · Second concurrent infusion | $7.41 | $7.41 | $7.41 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | SJ · Third+ concurrent infusion | $7.41 | $7.41 | $7.41 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $9.12 Typical High $20.42 | Professional | TC · Technical part | $8.91 | $9.12 | $20.42 |
Where North Carolina sits
The same service costs 2.3 times more in Montana than in Hawaii. 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· 14th of 51
$15.49
MT $21.38HI $9.33
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.