How much rates vary
Facilitymedian $1,122 · 10th to 90th $151 to $1,413Professionalmedian $1,122 · 10th to 90th $603 to $1,349
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $1,348.96 Typical High $1,412.54 | Professional | None | $758.58 | $1,348.96 | $1,412.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $467.74 Median $1,023.29 Typical High $1,071.52 | Professional | UE · Used equipment | $467.74 | $1,023.29 | $1,071.52 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | RR · Rental | $162.18 | $162.18 | $162.18 |
BCBS North Carolina Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $239.88 | Facility | None | $199.53 | $199.53 | $239.88 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | RR · Rental | $162.18 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,445.44 | Facility | None | $1,122.02 | $1,122.02 | $1,445.44 |
Cigna Setting Facility Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $144.54 | Facility | RR · Rental | $112.20 | $112.20 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $1,122.02 Typical High $1,445.44 | Professional | None | $338.84 | $1,122.02 | $1,445.44 |
Cigna Setting Professional Modifier RR · Rental Typical Low $95.50 Median $112.20 Typical High $144.54 | Professional | RR · Rental | $95.50 | $112.20 | $144.54 |
Medcost Setting Professional Modifier RR · Rental Typical Low $128.82 Median $141.25 Typical High $141.25 | Professional | RR · Rental | $128.82 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $1,288.25 Typical High $1,412.54 | Facility | None | $151.36 | $1,288.25 | $1,412.54 |
Medcost Setting Professional Modifier None Typical Low $1,258.93 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,258.93 | $1,288.25 | $1,288.25 |
Medcost Setting Professional Modifier RR · Rental Typical Low $125.89 Median $125.89 Typical High $128.82 | Professional | RR · Rental | $125.89 | $125.89 | $128.82 |
United Setting Professional Modifier None Typical Low $588.84 Median $812.83 Typical High $1,230.27 | Professional | None | $588.84 | $812.83 | $1,230.27 |
United Setting Professional Modifier RR · Rental Typical Low $69.18 Median $107.15 Typical High $158.49 | Professional | RR · Rental | $69.18 | $107.15 | $158.49 |
United Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $602.56 Typical High $933.25 | Professional | UE · Used equipment | $446.68 | $602.56 | $933.25 |
9 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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier NR · New when rented Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | NR · New when rented | $891.25 | $891.25 | $891.25 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,819.70 Median $1,949.84 Typical High $1,949.84 | Professional | 50 · Both sides | $1,819.70 | $1,949.84 | $1,949.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $616.60 Median $645.65 Typical High $645.65 | Professional | 51 · Multiple procedures | $616.60 | $645.65 | $645.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $245.47 Median $257.04 Typical High $257.04 | Professional | 80 · Assistant surgeon | $245.47 | $257.04 | $257.04 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $169.82 Median $181.97 Typical High $181.97 | Professional | 81 · Minimal assistant surgeon | $169.82 | $181.97 | $181.97 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $169.82 Median $181.97 Typical High $181.97 | Professional | 82 · Assistant surgeon, no resident | $169.82 | $181.97 | $181.97 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $169.82 Median $181.97 Typical High $181.97 | Professional | AS · PA/NP assist | $169.82 | $181.97 | $181.97 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | SH · Second concurrent infusion | $645.65 | $645.65 | $645.65 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | SJ · Third+ concurrent infusion | $645.65 | $645.65 | $645.65 |
Where North Carolina sits
The same service costs 14.5 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· 33rd of 51
$1,122
ND $2,042IL $141
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.