How much rates vary
Facilitymedian $427 · 10th to 90th $50 to $490Professionalmedian $398 · 10th to 90th $219 to $537
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 $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $602.56 | Professional | None | $489.78 | $489.78 | $602.56 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $371.54 Median $371.54 Typical High $446.68 | Professional | UE · Used equipment | $371.54 | $371.54 | $446.68 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | RR · Rental | $58.88 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier RR · Rental Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | RR · Rental | $42.66 | $42.66 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $426.58 Typical High $426.58 | Professional | None | $363.08 | $426.58 | $426.58 |
Cigna Setting Professional Modifier RR · Rental Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | RR · Rental | $42.66 | $42.66 | $42.66 |
Medcost Setting Professional Modifier RR · Rental Typical Low $48.98 Median $52.48 Typical High $52.48 | Professional | RR · Rental | $48.98 | $52.48 | $52.48 |
Medcost Setting Facility Modifier None Typical Low $50.12 Median $489.78 Typical High $537.03 | Facility | None | $50.12 | $489.78 | $537.03 |
Medcost Setting Professional Modifier None Typical Low $70.79 Median $537.03 Typical High $537.03 | Professional | None | $70.79 | $537.03 | $537.03 |
Medcost Setting Professional Modifier RR · Rental Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | RR · Rental | $58.88 | $58.88 | $58.88 |
United Setting Professional Modifier None Typical Low $181.97 Median $295.12 Typical High $426.58 | Professional | None | $181.97 | $295.12 | $426.58 |
United Setting Professional Modifier RR · Rental Typical Low $25.70 Median $36.31 Typical High $58.88 | Professional | RR · Rental | $25.70 | $36.31 | $58.88 |
United Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $223.87 Typical High $316.23 | Professional | UE · Used equipment | $138.04 | $223.87 | $316.23 |
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 $104.71 Median $794.33 Typical High $794.33 | Professional | 50 · Both sides | $104.71 | $794.33 | $794.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $34.67 Median $269.15 Typical High $269.15 | Professional | 51 · Multiple procedures | $34.67 | $269.15 | $269.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.13 Median $107.15 Typical High $107.15 | Professional | 80 · Assistant surgeon | $14.13 | $107.15 | $107.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.77 Median $74.13 Typical High $74.13 | Professional | 81 · Minimal assistant surgeon | $9.77 | $74.13 | $74.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.77 Median $74.13 Typical High $74.13 | Professional | 82 · Assistant surgeon, no resident | $9.77 | $74.13 | $74.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.77 Median $74.13 Typical High $74.13 | Professional | AS · PA/NP assist | $9.77 | $74.13 | $74.13 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $34.67 Median $269.15 Typical High $269.15 | Professional | SH · Second concurrent infusion | $34.67 | $269.15 | $269.15 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $34.67 Median $269.15 Typical High $269.15 | Professional | SJ · Third+ concurrent infusion | $34.67 | $269.15 | $269.15 |
Where North Carolina sits
The same service costs 4.7 times more in North Dakota 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· 31st of 51
$427
ND $813RI $174
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.