How much rates vary
Facilitymedian $562 · 10th to 90th $89 to $676Professionalmedian $603 · 10th to 90th $417 to $724
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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $645.65 Typical High $645.65 | Professional | None | $524.81 | $645.65 | $645.65 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $316.23 Median $478.63 Typical High $478.63 | Professional | UE · Used equipment | $316.23 | $478.63 | $478.63 |
BCBS North Carolina Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $138.04 | Facility | None | $114.82 | $114.82 | $138.04 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | RR · Rental | $85.11 | $85.11 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $691.83 | Facility | None | $562.34 | $562.34 | $691.83 |
Cigna Setting Facility Modifier RR · Rental Typical Low $56.23 Median $56.23 Typical High $69.18 | Facility | RR · Rental | $56.23 | $56.23 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $562.34 Typical High $691.83 | Professional | None | $478.63 | $562.34 | $691.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $56.23 Median $56.23 Typical High $67.61 | Professional | RR · Rental | $56.23 | $56.23 | $67.61 |
Medcost Setting Professional Modifier RR · Rental Typical Low $89.13 Median $95.50 Typical High $95.50 | Professional | RR · Rental | $89.13 | $95.50 | $95.50 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $602.56 Typical High $707.95 | Facility | None | $89.13 | $602.56 | $707.95 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
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 $338.84 Median $537.03 Typical High $794.33 | Professional | None | $338.84 | $537.03 | $794.33 |
United Setting Professional Modifier RR · Rental Typical Low $34.67 Median $53.70 Typical High $87.10 | Professional | RR · Rental | $34.67 | $53.70 | $87.10 |
United Setting Professional Modifier UE · Used equipment Typical Low $257.04 Median $407.38 Typical High $588.84 | Professional | UE · Used equipment | $257.04 | $407.38 | $588.84 |
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 50 · Both sides | $1,047.13 | $1,047.13 | $1,047.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 51 · Multiple procedures | $346.74 | $346.74 | $346.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 80 · Assistant surgeon | $141.25 | $141.25 | $141.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 81 · Minimal assistant surgeon | $97.72 | $97.72 | $97.72 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 82 · Assistant surgeon, no resident | $97.72 | $97.72 | $97.72 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | AS · PA/NP assist | $97.72 | $97.72 | $97.72 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | SH · Second concurrent infusion | $346.74 | $346.74 | $346.74 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | SJ · Third+ concurrent infusion | $346.74 | $346.74 | $346.74 |
Where North Carolina sits
The same service costs 12.9 times more in South Carolina 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· 26th of 51
$562
SC $1,000IL $77.62
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.