How much rates vary
Facilitymedian $126 · 10th to 90th $123 to $170Professionalmedian $126 · 10th to 90th $79 to $224
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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $125.89 Typical High $128.82 | Professional | None | $85.11 | $125.89 | $128.82 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $66.07 Median $97.72 Typical High $97.72 | Professional | UE · Used equipment | $66.07 | $97.72 | $97.72 |
Ambetter Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | RR · Rental | $16.98 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier RR · Rental Typical Low $12.30 Median $12.30 Typical High $13.18 | Facility | RR · Rental | $12.30 | $12.30 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $123.03 Typical High $131.83 | Professional | None | $120.23 | $123.03 | $131.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $12.02 Median $12.30 Typical High $13.18 | Professional | RR · Rental | $12.02 | $12.30 | $13.18 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $134.90 Typical High $134.90 | Professional | None | $125.89 | $134.90 | $134.90 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $125.89 Typical High $169.82 | Facility | None | $85.11 | $125.89 | $169.82 |
Medcost Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $223.87 | Professional | None | $173.78 | $173.78 | $223.87 |
Medcost Setting Professional Modifier RR · Rental Typical Low $20.89 Median $23.99 Typical High $23.99 | Professional | RR · Rental | $20.89 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $64.57 Median $104.71 Typical High $173.78 | Professional | None | $64.57 | $104.71 | $173.78 |
United Setting Professional Modifier RR · Rental Typical Low $6.61 Median $10.72 Typical High $17.38 | Professional | RR · Rental | $6.61 | $10.72 | $17.38 |
United Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $81.28 Typical High $131.83 | Professional | UE · Used equipment | $50.12 | $81.28 | $131.83 |
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 $263.03 Median $263.03 Typical High $263.03 | Professional | 50 · Both sides | $263.03 | $263.03 | $263.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 51 · Multiple procedures | $87.10 | $87.10 | $87.10 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 80 · Assistant surgeon | $34.67 | $34.67 | $34.67 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 81 · Minimal assistant surgeon | $24.55 | $24.55 | $24.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 82 · Assistant surgeon, no resident | $24.55 | $24.55 | $24.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | AS · PA/NP assist | $24.55 | $24.55 | $24.55 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | SH · Second concurrent infusion | $87.10 | $87.10 | $87.10 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | SJ · Third+ concurrent infusion | $87.10 | $87.10 | $87.10 |
Where North Carolina sits
The same service costs 14.1 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· 18th of 51
$126
KS $214IL $15.14
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.