How much rates vary
Facilitymedian $617 · 10th to 90th $81 to $646Professionalmedian $589 · 10th to 90th $355 to $759
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 Typical Low $446.68 Median $616.60 Typical High $630.96 | Professional | None | $446.68 | $616.60 | $630.96 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $275.42 Median $457.09 Typical High $457.09 | Professional | UE · Used equipment | $275.42 | $457.09 | $457.09 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | RR · Rental | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier RR · Rental Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | RR · Rental | $53.70 | $53.70 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $602.56 Typical High $1,071.52 | Professional | None | $60.26 | $602.56 | $1,071.52 |
Cigna Setting Professional Modifier RR · Rental Typical Low $45.71 Median $53.70 Typical High $53.70 | Professional | RR · Rental | $45.71 | $53.70 | $53.70 |
Medcost Setting Professional Modifier RR · Rental Typical Low $70.79 Median $77.62 Typical High $77.62 | Professional | RR · Rental | $70.79 | $77.62 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $81.28 Median $602.56 Typical High $676.08 | Facility | None | $81.28 | $602.56 | $676.08 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $758.58 | Professional | None | $645.65 | $758.58 | $758.58 |
Medcost Setting Professional Modifier RR · Rental Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | RR · Rental | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier None Typical Low $295.12 Median $467.74 Typical High $676.08 | Professional | None | $295.12 | $467.74 | $676.08 |
United Setting Professional Modifier RR · Rental Typical Low $33.88 Median $51.29 Typical High $83.18 | Professional | RR · Rental | $33.88 | $51.29 | $83.18 |
United Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $346.74 Typical High $501.19 | Professional | UE · Used equipment | $218.78 | $346.74 | $501.19 |
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 $1,071.52 Median $1,122.02 Typical High $1,122.02 | Professional | 50 · Both sides | $1,071.52 | $1,122.02 | $1,122.02 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $363.08 Median $371.54 Typical High $371.54 | Professional | 51 · Multiple procedures | $363.08 | $371.54 | $371.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $151.36 Typical High $151.36 | Professional | 80 · Assistant surgeon | $144.54 | $151.36 | $151.36 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $100.00 Median $104.71 Typical High $104.71 | Professional | 81 · Minimal assistant surgeon | $100.00 | $104.71 | $104.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $100.00 Median $104.71 Typical High $104.71 | Professional | 82 · Assistant surgeon, no resident | $100.00 | $104.71 | $104.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $100.00 Median $104.71 Typical High $104.71 | Professional | AS · PA/NP assist | $100.00 | $104.71 | $104.71 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | SH · Second concurrent infusion | $371.54 | $371.54 | $371.54 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | SJ · Third+ concurrent infusion | $371.54 | $371.54 | $371.54 |
Where North Carolina sits
The same service costs 16.6 times more in Kansas 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· 28th of 51
$589
KS $955IL $57.54
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.