How much rates vary
Facilitymedian $891 · 10th to 90th $126 to $1,072Professionalmedian $891 · 10th to 90th $550 to $1,738
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,174.90 | Professional | None | $1,071.52 | $1,071.52 | $1,174.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $794.33 Median $794.33 Typical High $891.25 | Professional | UE · Used equipment | $794.33 | $794.33 | $891.25 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | RR · Rental | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Facility Modifier RR · Rental Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | RR · Rental | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $891.25 Typical High $891.25 | Professional | None | $741.31 | $891.25 | $891.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $74.13 Median $89.13 Typical High $89.13 | Professional | RR · Rental | $74.13 | $89.13 | $89.13 |
Medcost Setting Professional Modifier RR · Rental Typical Low $107.15 Median $114.82 Typical High $114.82 | Professional | RR · Rental | $107.15 | $114.82 | $114.82 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $1,071.52 Typical High $1,174.90 | Facility | None | $125.89 | $1,071.52 | $1,174.90 |
Medcost Setting Professional Modifier None Typical Low $1,174.90 Median $1,737.80 Typical High $1,737.80 | Professional | None | $1,174.90 | $1,737.80 | $1,737.80 |
Medcost Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | RR · Rental | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier None Typical Low $501.19 Median $741.31 Typical High $1,122.02 | Professional | None | $501.19 | $741.31 | $1,122.02 |
United Setting Professional Modifier RR · Rental Typical Low $56.23 Median $83.18 Typical High $131.83 | Professional | RR · Rental | $56.23 | $83.18 | $131.83 |
United Setting Professional Modifier UE · Used equipment Typical Low $371.54 Median $562.34 Typical High $831.76 | Professional | UE · Used equipment | $371.54 | $562.34 | $831.76 |
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 $1,621.81 Median $2,630.27 Typical High $2,630.27 | Professional | 50 · Both sides | $1,621.81 | $2,630.27 | $2,630.27 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $537.03 Median $870.96 Typical High $870.96 | Professional | 51 · Multiple procedures | $537.03 | $870.96 | $870.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $213.80 Median $346.74 Typical High $346.74 | Professional | 80 · Assistant surgeon | $213.80 | $346.74 | $346.74 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $151.36 Median $245.47 Typical High $245.47 | Professional | 81 · Minimal assistant surgeon | $151.36 | $245.47 | $245.47 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $151.36 Median $245.47 Typical High $245.47 | Professional | 82 · Assistant surgeon, no resident | $151.36 | $245.47 | $245.47 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $151.36 Median $245.47 Typical High $245.47 | Professional | AS · PA/NP assist | $151.36 | $245.47 | $245.47 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | SH · Second concurrent infusion | $870.96 | $870.96 | $870.96 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | SJ · Third+ concurrent infusion | $870.96 | $870.96 | $870.96 |
Where North Carolina sits
The same service costs 4.6 times more in Kansas 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
$891
KS $2,399RI $525
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.