How much rates vary
Facilitymedian $151 · 10th to 90th $56 to $513Professionalmedian $324 · 10th to 90th $151 to $513
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 $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $602.56 | Professional | None | $512.86 | $512.86 | $602.56 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $389.05 Typical High $457.09 | Professional | UE · Used equipment | $389.05 | $389.05 | $457.09 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | RR · Rental | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier RR · Rental Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | RR · Rental | $15.14 | $15.14 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $151.36 Typical High $162.18 | Professional | None | $128.82 | $151.36 | $162.18 |
Cigna Setting Professional Modifier RR · Rental Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | RR · Rental | $15.14 | $15.14 | $15.14 |
Medcost Setting Professional Modifier RR · Rental Typical Low $44.67 Median $47.86 Typical High $47.86 | Professional | RR · Rental | $44.67 | $47.86 | $47.86 |
Medcost Setting Facility Modifier None Typical Low $56.23 Median $501.19 Typical High $549.54 | Facility | None | $56.23 | $501.19 | $549.54 |
Medcost Setting Professional Modifier None Typical Low $398.11 Median $501.19 Typical High $501.19 | Professional | None | $398.11 | $501.19 | $501.19 |
Medcost Setting Professional Modifier RR · Rental Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | RR · Rental | $64.57 | $64.57 | $64.57 |
United Setting Professional Modifier None Typical Low $181.97 Median $295.12 Typical High $426.58 | Professional | None | $181.97 | $295.12 | $426.58 |
United Setting Professional Modifier RR · Rental Typical Low $25.70 Median $39.81 Typical High $58.88 | Professional | RR · Rental | $25.70 | $39.81 | $58.88 |
United Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $218.78 Typical High $316.23 | Professional | UE · Used equipment | $138.04 | $218.78 | $316.23 |
8 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 50 · Both sides Typical Low $676.08 Median $758.58 Typical High $758.58 | Professional | 50 · Both sides | $676.08 | $758.58 | $758.58 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $223.87 Median $251.19 Typical High $251.19 | Professional | 51 · Multiple procedures | $223.87 | $251.19 | $251.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $100.00 Typical High $100.00 | Professional | 80 · Assistant surgeon | $91.20 | $100.00 | $100.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $63.10 Median $70.79 Typical High $70.79 | Professional | 81 · Minimal assistant surgeon | $63.10 | $70.79 | $70.79 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $63.10 Median $70.79 Typical High $70.79 | Professional | 82 · Assistant surgeon, no resident | $63.10 | $70.79 | $70.79 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $63.10 Median $70.79 Typical High $70.79 | Professional | AS · PA/NP assist | $63.10 | $70.79 | $70.79 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | SH · Second concurrent infusion | $251.19 | $251.19 | $251.19 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | SJ · Third+ concurrent infusion | $251.19 | $251.19 | $251.19 |
Where North Carolina sits
The same service costs 15.1 times more in North Dakota than in Illinois. 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· 40th of 51
$302
ND $832IL $54.95
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.