How much rates vary
Facilitymedian $1,950 · 10th to 90th $1,862 to $2,239Professionalmedian $1,950 · 10th to 90th $1,000 to $2,570
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 $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,630.27 | Professional | None | $2,238.72 | $2,238.72 | $2,630.27 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,659.59 Median $1,659.59 Typical High $1,995.26 | Professional | UE · Used equipment | $1,659.59 | $1,659.59 | $1,995.26 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | RR · Rental | $251.19 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Cigna Setting Facility Modifier RR · Rental Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | RR · Rental | $194.98 | $194.98 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $1,659.59 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,659.59 | $1,949.84 | $1,949.84 |
Cigna Setting Professional Modifier RR · Rental Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | RR · Rental | $194.98 | $194.98 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $1,862.09 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,862.09 | $1,995.26 | $1,995.26 |
Medcost Setting Facility Modifier None Typical Low $1,096.48 Median $2,238.72 Typical High $2,570.40 | Facility | None | $1,096.48 | $2,238.72 | $2,570.40 |
Medcost Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Medcost Setting Professional Modifier RR · Rental Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | RR · Rental | $257.04 | $257.04 | $257.04 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,412.54 Typical High $2,041.74 | Professional | None | $831.76 | $1,412.54 | $2,041.74 |
United Setting Professional Modifier RR · Rental Typical Low $104.71 Median $158.49 Typical High $229.09 | Professional | RR · Rental | $104.71 | $158.49 | $229.09 |
United Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $1,071.52 Typical High $1,548.82 | Professional | UE · Used equipment | $630.96 | $1,071.52 | $1,548.82 |
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 $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | 50 · Both sides | $3,801.89 | $3,801.89 | $3,801.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | 51 · Multiple procedures | $1,288.25 | $1,288.25 | $1,288.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 80 · Assistant surgeon | $512.86 | $512.86 | $512.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 81 · Minimal assistant surgeon | $354.81 | $354.81 | $354.81 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 82 · Assistant surgeon, no resident | $354.81 | $354.81 | $354.81 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | AS · PA/NP assist | $354.81 | $354.81 | $354.81 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | SH · Second concurrent infusion | $1,288.25 | $1,288.25 | $1,288.25 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | SJ · Third+ concurrent infusion | $1,288.25 | $1,288.25 | $1,288.25 |
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· 18th of 51
$1,950
ND $3,631RI $871
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.