How much rates vary
Facilitymedian $129 · 10th to 90th $120 to $155Professionalmedian $120 · 10th to 90th $78 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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $131.83 Typical High $141.25 | Professional | None | $77.62 | $131.83 | $141.25 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $100.00 Typical High $104.71 | Professional | UE · Used equipment | $57.54 | $100.00 | $104.71 |
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 $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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $134.90 | Professional | None | $120.23 | $120.23 | $134.90 |
Medcost Setting Professional Modifier None Typical Low $131.83 Median $141.25 Typical High $141.25 | Professional | None | $131.83 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $77.62 Median $131.83 Typical High $165.96 | Facility | None | $77.62 | $131.83 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $151.36 Median $223.87 Typical High $223.87 | Professional | None | $151.36 | $223.87 | $223.87 |
Medcost Setting Professional Modifier RR · Rental Typical Low $19.05 Median $22.39 Typical High $22.39 | Professional | RR · Rental | $19.05 | $22.39 | $22.39 |
United Setting Professional Modifier None Typical Low $69.18 Median $104.71 Typical High $162.18 | Professional | None | $69.18 | $104.71 | $162.18 |
United Setting Professional Modifier RR · Rental Typical Low $7.24 Median $10.72 Typical High $16.98 | Professional | RR · Rental | $7.24 | $10.72 | $16.98 |
United Setting Professional Modifier UE · Used equipment Typical Low $52.48 Median $79.43 Typical High $120.23 | Professional | UE · Used equipment | $52.48 | $79.43 | $120.23 |
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 $229.09 Median $331.13 Typical High $331.13 | Professional | 50 · Both sides | $229.09 | $331.13 | $331.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $75.86 Median $112.20 Typical High $112.20 | Professional | 51 · Multiple procedures | $75.86 | $112.20 | $112.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.20 Median $44.67 Typical High $44.67 | Professional | 80 · Assistant surgeon | $30.20 | $44.67 | $44.67 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.38 Median $30.90 Typical High $30.90 | Professional | 81 · Minimal assistant surgeon | $21.38 | $30.90 | $30.90 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.38 Median $30.90 Typical High $30.90 | Professional | 82 · Assistant surgeon, no resident | $21.38 | $30.90 | $30.90 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.38 Median $30.90 Typical High $30.90 | Professional | AS · PA/NP assist | $21.38 | $30.90 | $30.90 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $75.86 Median $112.20 Typical High $112.20 | Professional | SH · Second concurrent infusion | $75.86 | $112.20 | $112.20 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $75.86 Median $112.20 Typical High $112.20 | Professional | SJ · Third+ concurrent infusion | $75.86 | $112.20 | $112.20 |
Where North Carolina sits
The same service costs 13.5 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· 38th of 51
$120
KS $234IL $17.38
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.