How much rates vary
Facilitymedian $1,000 · 10th to 90th $135 to $1,175Professionalmedian $1,000 · 10th to 90th $537 to $1,175
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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $1,174.90 Typical High $1,318.26 | Professional | None | $977.24 | $1,174.90 | $1,318.26 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $891.25 Median $891.25 Typical High $1,000.00 | Professional | UE · Used equipment | $891.25 | $891.25 | $1,000.00 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | RR · Rental | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Facility Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $138.04 | Facility | RR · Rental | $100.00 | $100.00 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $1,000.00 Typical High $1,000.00 | Professional | None | $758.58 | $1,000.00 | $1,000.00 |
Cigna Setting Professional Modifier RR · Rental Typical Low $83.18 Median $100.00 Typical High $112.20 | Professional | RR · Rental | $83.18 | $100.00 | $112.20 |
Medcost Setting Professional Modifier RR · Rental Typical Low $104.71 Median $112.20 Typical High $112.20 | Professional | RR · Rental | $104.71 | $112.20 | $112.20 |
Medcost Setting Facility Modifier None Typical Low $134.90 Median $1,148.15 Typical High $1,230.27 | Facility | None | $134.90 | $1,148.15 | $1,230.27 |
Medcost Setting Professional Modifier None Typical Low $1,122.02 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,122.02 | $1,148.15 | $1,148.15 |
Medcost Setting Professional Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | RR · Rental | $114.82 | $114.82 | $114.82 |
United Setting Professional Modifier None Typical Low $524.81 Median $724.44 Typical High $1,096.48 | Professional | None | $524.81 | $724.44 | $1,096.48 |
United Setting Professional Modifier RR · Rental Typical Low $61.66 Median $93.33 Typical High $141.25 | Professional | RR · Rental | $61.66 | $93.33 | $141.25 |
United Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $537.03 Typical High $812.83 | Professional | UE · Used equipment | $389.05 | $537.03 | $812.83 |
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 $1,621.81 Median $1,737.80 Typical High $1,737.80 | Professional | 50 · Both sides | $1,621.81 | $1,737.80 | $1,737.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $537.03 Median $575.44 Typical High $575.44 | Professional | 51 · Multiple procedures | $537.03 | $575.44 | $575.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $218.78 Median $229.09 Typical High $229.09 | Professional | 80 · Assistant surgeon | $218.78 | $229.09 | $229.09 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $151.36 Median $162.18 Typical High $162.18 | Professional | 81 · Minimal assistant surgeon | $151.36 | $162.18 | $162.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $151.36 Median $162.18 Typical High $162.18 | Professional | 82 · Assistant surgeon, no resident | $151.36 | $162.18 | $162.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $151.36 Median $162.18 Typical High $162.18 | Professional | AS · PA/NP assist | $151.36 | $162.18 | $162.18 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | SH · Second concurrent infusion | $575.44 | $575.44 | $575.44 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | SJ · Third+ concurrent infusion | $575.44 | $575.44 | $575.44 |
Where North Carolina sits
The same service costs 3.2 times more in Minnesota than in Rhode Island. 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· 35th of 51
$1,000
MN $1,778RI $550
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.