How much rates vary
Facilitymedian $2,754 · 10th to 90th $575 to $3,388Professionalmedian $1,738 · 10th to 90th $195 to $6,761
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 $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $2,754.23 Typical High $2,754.23 | Professional | None | $2,344.23 | $2,754.23 | $2,754.23 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | RR · Rental | $426.58 | $426.58 | $426.58 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | RR · Rental | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $3,388.44 Typical High $3,388.44 | Facility | None | $208.93 | $3,388.44 | $3,388.44 |
Cigna Setting Facility Modifier RR · Rental Typical Low $177.83 Median $177.83 Typical High $338.84 | Facility | RR · Rental | $177.83 | $177.83 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $1,513.56 Typical High $3,388.44 | Professional | None | $190.55 | $1,513.56 | $3,388.44 |
Cigna Setting Professional Modifier RR · Rental Typical Low $177.83 Median $177.83 Typical High $218.78 | Professional | RR · Rental | $177.83 | $177.83 | $218.78 |
Medcost Setting Professional Modifier RR · Rental Typical Low $457.09 Median $489.78 Typical High $489.78 | Professional | RR · Rental | $457.09 | $489.78 | $489.78 |
Medcost Setting Facility Modifier None Typical Low $575.44 Median $2,754.23 Typical High $2,951.21 | Facility | None | $575.44 | $2,754.23 | $2,951.21 |
Medcost Setting Professional Modifier None Typical Low $794.33 Median $6,760.83 Typical High $6,760.83 | Professional | None | $794.33 | $6,760.83 | $6,760.83 |
Medcost Setting Professional Modifier RR · Rental Typical Low $630.96 Median $676.08 Typical High $676.08 | Professional | RR · Rental | $630.96 | $676.08 | $676.08 |
United Setting Professional Modifier None Typical Low $194.98 Median $389.05 Typical High $2,630.27 | Professional | None | $194.98 | $389.05 | $2,630.27 |
United Setting Professional Modifier RR · Rental Typical Low $114.82 Median $288.40 Typical High $524.81 | Professional | RR · Rental | $114.82 | $288.40 | $524.81 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,778.28 Median $2,041.74 Typical High $2,041.74 | Professional | UE · Used equipment | $1,778.28 | $2,041.74 | $2,041.74 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,202.26 Median $10,232.93 Typical High $10,232.93 | Professional | 50 · Both sides | $1,202.26 | $10,232.93 | $10,232.93 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $398.11 Median $3,388.44 Typical High $3,388.44 | Professional | 51 · Multiple procedures | $398.11 | $3,388.44 | $3,388.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $158.49 Median $1,380.38 Typical High $1,380.38 | Professional | 80 · Assistant surgeon | $158.49 | $1,380.38 | $1,380.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $112.20 Median $954.99 Typical High $954.99 | Professional | 81 · Minimal assistant surgeon | $112.20 | $954.99 | $954.99 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $112.20 Median $954.99 Typical High $954.99 | Professional | 82 · Assistant surgeon, no resident | $112.20 | $954.99 | $954.99 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $112.20 Median $954.99 Typical High $954.99 | Professional | AS · PA/NP assist | $112.20 | $954.99 | $954.99 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $204.17 Median $3,388.44 Typical High $3,388.44 | Professional | SH · Second concurrent infusion | $204.17 | $3,388.44 | $3,388.44 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $204.17 Median $3,388.44 Typical High $3,388.44 | Professional | SJ · Third+ concurrent infusion | $204.17 | $3,388.44 | $3,388.44 |
Where North Carolina sits
The same service costs 22.9 times more in South Carolina than in Montana. 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· 14th of 51
$2,344
SC $7,079MT $309
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.