How much rates vary
Facilitymedian $28 · 10th to 90th $25 to $29Professionalmedian $26 · 10th to 90th $16 to $30
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 $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $32.36 | Professional | None | $26.30 | $26.30 | $32.36 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $19.50 Median $19.50 Typical High $24.55 | Professional | UE · Used equipment | $19.50 | $19.50 | $24.55 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | RR · Rental | $3.24 | $3.24 | $3.24 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $29.51 | Professional | None | $27.54 | $27.54 | $29.51 |
Medcost Setting Professional Modifier None Typical Low $24.55 Median $26.92 Typical High $26.92 | Professional | None | $24.55 | $26.92 | $26.92 |
Medcost Setting Facility Modifier None Typical Low $14.45 Median $26.30 Typical High $31.62 | Facility | None | $14.45 | $26.30 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $30.20 | Professional | None | $28.84 | $28.84 | $30.20 |
Medcost Setting Professional Modifier RR · Rental Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | RR · Rental | $3.02 | $3.02 | $3.02 |
United Setting Professional Modifier None Typical Low $13.18 Median $18.62 Typical High $29.51 | Professional | None | $13.18 | $18.62 | $29.51 |
United Setting Professional Modifier RR · Rental Typical Low $1.41 Median $2.00 Typical High $3.16 | Professional | RR · Rental | $1.41 | $2.00 | $3.16 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.00 Median $13.80 Typical High $21.88 | Professional | UE · Used equipment | $10.00 | $13.80 | $21.88 |
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 $43.65 Median $43.65 Typical High $43.65 | Professional | 50 · Both sides | $43.65 | $43.65 | $43.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 51 · Multiple procedures | $14.45 | $14.45 | $14.45 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 80 · Assistant surgeon | $5.75 | $5.75 | $5.75 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 81 · Minimal assistant surgeon | $4.07 | $4.07 | $4.07 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 82 · Assistant surgeon, no resident | $4.07 | $4.07 | $4.07 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | AS · PA/NP assist | $4.07 | $4.07 | $4.07 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | SH · Second concurrent infusion | $14.45 | $14.45 | $14.45 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | SJ · Third+ concurrent infusion | $14.45 | $14.45 | $14.45 |
Where North Carolina sits
The same service costs 9.8 times more in Kansas than in Utah. 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· 31st of 51
$26.30
KS $182UT $18.62
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.