How much rates vary
Facilitymedian $316 · 10th to 90th $47 to $468Professionalmedian $316 · 10th to 90th $219 to $912
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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $575.44 | Professional | None | $467.74 | $467.74 | $575.44 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $354.81 Typical High $436.52 | Professional | UE · Used equipment | $354.81 | $354.81 | $436.52 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | RR · Rental | $56.23 | $56.23 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $316.23 Typical High $316.23 | Professional | None | $269.15 | $316.23 | $316.23 |
Medcost Setting Professional Modifier RR · Rental Typical Low $46.77 Median $50.12 Typical High $50.12 | Professional | RR · Rental | $46.77 | $50.12 | $50.12 |
Medcost Setting Facility Modifier None Typical Low $46.77 Median $467.74 Typical High $524.81 | Facility | None | $46.77 | $467.74 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $912.01 Typical High $912.01 | Professional | None | $389.05 | $912.01 | $912.01 |
Medcost Setting Professional Modifier RR · Rental Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | RR · Rental | $54.95 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $177.83 Median $281.84 Typical High $407.38 | Professional | None | $177.83 | $281.84 | $407.38 |
United Setting Professional Modifier RR · Rental Typical Low $24.55 Median $34.67 Typical High $54.95 | Professional | RR · Rental | $24.55 | $34.67 | $54.95 |
United Setting Professional Modifier UE · Used equipment Typical Low $131.83 Median $213.80 Typical High $302.00 | Professional | UE · Used equipment | $131.83 | $213.80 | $302.00 |
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 $660.69 Median $1,380.38 Typical High $1,380.38 | Professional | 50 · Both sides | $660.69 | $1,380.38 | $1,380.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $218.78 Median $457.09 Typical High $457.09 | Professional | 51 · Multiple procedures | $218.78 | $457.09 | $457.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $87.10 Median $181.97 Typical High $181.97 | Professional | 80 · Assistant surgeon | $87.10 | $181.97 | $181.97 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $61.66 Median $128.82 Typical High $128.82 | Professional | 81 · Minimal assistant surgeon | $61.66 | $128.82 | $128.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $61.66 Median $128.82 Typical High $128.82 | Professional | 82 · Assistant surgeon, no resident | $61.66 | $128.82 | $128.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $61.66 Median $128.82 Typical High $128.82 | Professional | AS · PA/NP assist | $61.66 | $128.82 | $128.82 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | SH · Second concurrent infusion | $457.09 | $457.09 | $457.09 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | SJ · Third+ concurrent infusion | $457.09 | $457.09 | $457.09 |
Where North Carolina sits
The same service costs 3.5 times more in North Dakota than in Mississippi. 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
$316
ND $794MS $229
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.