How much rates vary
Facilitymedian $550 · 10th to 90th $83 to $617Professionalmedian $550 · 10th to 90th $389 to $1,549
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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $630.96 | Professional | None | $489.78 | $616.60 | $630.96 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $467.74 Typical High $467.74 | Professional | UE · Used equipment | $302.00 | $467.74 | $467.74 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | RR · Rental | $81.28 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier RR · Rental Typical Low $54.95 Median $54.95 Typical High $58.88 | Facility | RR · Rental | $54.95 | $54.95 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $588.84 | Professional | None | $467.74 | $549.54 | $588.84 |
Cigna Setting Professional Modifier RR · Rental Typical Low $54.95 Median $54.95 Typical High $58.88 | Professional | RR · Rental | $54.95 | $54.95 | $58.88 |
Medcost Setting Professional Modifier RR · Rental Typical Low $83.18 Median $89.13 Typical High $89.13 | Professional | RR · Rental | $83.18 | $89.13 | $89.13 |
Medcost Setting Facility Modifier None Typical Low $83.18 Median $602.56 Typical High $676.08 | Facility | None | $83.18 | $602.56 | $676.08 |
Medcost Setting Professional Modifier None Typical Low $691.83 Median $1,548.82 Typical High $1,548.82 | Professional | None | $691.83 | $1,548.82 | $1,548.82 |
Medcost Setting Professional Modifier RR · Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $97.72 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $316.23 Median $501.19 Typical High $741.31 | Professional | None | $316.23 | $501.19 | $741.31 |
United Setting Professional Modifier RR · Rental Typical Low $33.88 Median $52.48 Typical High $85.11 | Professional | RR · Rental | $33.88 | $52.48 | $85.11 |
United Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $380.19 Typical High $537.03 | Professional | UE · Used equipment | $239.88 | $380.19 | $537.03 |
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 $1,174.90 Median $2,290.87 Typical High $2,290.87 | Professional | 50 · Both sides | $1,174.90 | $2,290.87 | $2,290.87 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $389.05 Median $758.58 Typical High $758.58 | Professional | 51 · Multiple procedures | $389.05 | $758.58 | $758.58 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $154.88 Median $309.03 Typical High $309.03 | Professional | 80 · Assistant surgeon | $154.88 | $309.03 | $309.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $109.65 Median $213.80 Typical High $213.80 | Professional | 81 · Minimal assistant surgeon | $109.65 | $213.80 | $213.80 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $109.65 Median $213.80 Typical High $213.80 | Professional | 82 · Assistant surgeon, no resident | $109.65 | $213.80 | $213.80 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $109.65 Median $213.80 Typical High $213.80 | Professional | AS · PA/NP assist | $109.65 | $213.80 | $213.80 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | SH · Second concurrent infusion | $758.58 | $758.58 | $758.58 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | SJ · Third+ concurrent infusion | $758.58 | $758.58 | $758.58 |
Where North Carolina sits
The same service costs 14.5 times more in South Carolina than in Illinois. 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· 36th of 51
$550
SC $891IL $61.66
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.