How much rates vary
Facilitymedian $372 · 10th to 90th $55 to $525Professionalmedian $372 · 10th to 90th $257 to $1,072
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 $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $616.60 | Professional | None | $524.81 | $524.81 | $616.60 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $398.11 Median $398.11 Typical High $467.74 | Professional | UE · Used equipment | $398.11 | $398.11 | $467.74 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | RR · Rental | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Facility Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | RR · Rental | $37.15 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $371.54 Typical High $371.54 | Professional | None | $316.23 | $371.54 | $371.54 |
Cigna Setting Professional Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | RR · Rental | $37.15 | $37.15 | $37.15 |
Medcost Setting Professional Modifier RR · Rental Typical Low $54.95 Median $58.88 Typical High $58.88 | Professional | RR · Rental | $54.95 | $58.88 | $58.88 |
Medcost Setting Facility Modifier None Typical Low $54.95 Median $524.81 Typical High $575.44 | Facility | None | $54.95 | $524.81 | $575.44 |
Medcost Setting Professional Modifier None Typical Low $457.09 Median $1,071.52 Typical High $1,071.52 | Professional | None | $457.09 | $1,071.52 | $1,071.52 |
Medcost Setting Professional Modifier RR · Rental Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | RR · Rental | $64.57 | $64.57 | $64.57 |
United Setting Professional Modifier None Typical Low $208.93 Median $331.13 Typical High $489.78 | Professional | None | $208.93 | $331.13 | $489.78 |
United Setting Professional Modifier RR · Rental Typical Low $28.84 Median $39.81 Typical High $64.57 | Professional | RR · Rental | $28.84 | $39.81 | $64.57 |
United Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $251.19 Typical High $354.81 | Professional | UE · Used equipment | $158.49 | $251.19 | $354.81 |
11 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 |
|---|---|---|---|---|---|
Cigna Setting Facility Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $29.51 | Facility | MS · Maintenance fee | $29.51 | $29.51 | $29.51 |
Cigna Setting Professional Modifier MS · Maintenance fee Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | MS · Maintenance fee | $29.51 | $29.51 | $29.51 |
Cigna Setting Professional Modifier NR · New when rented Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | NR · New when rented | $295.12 | $295.12 | $295.12 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $776.25 Median $1,584.89 Typical High $1,584.89 | Professional | 50 · Both sides | $776.25 | $1,584.89 | $1,584.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $257.04 Median $537.03 Typical High $537.03 | Professional | 51 · Multiple procedures | $257.04 | $537.03 | $537.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $102.33 Median $213.80 Typical High $213.80 | Professional | 80 · Assistant surgeon | $102.33 | $213.80 | $213.80 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $72.44 Median $147.91 Typical High $147.91 | Professional | 81 · Minimal assistant surgeon | $72.44 | $147.91 | $147.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $72.44 Median $147.91 Typical High $147.91 | Professional | 82 · Assistant surgeon, no resident | $72.44 | $147.91 | $147.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $72.44 Median $147.91 Typical High $147.91 | Professional | AS · PA/NP assist | $72.44 | $147.91 | $147.91 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | SH · Second concurrent infusion | $537.03 | $537.03 | $537.03 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | SJ · Third+ concurrent infusion | $537.03 | $537.03 | $537.03 |
Where North Carolina sits
The same service costs 4.2 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· 38th of 51
$372
ND $851RI $204
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.