How much rates vary
Facilitymedian $4,571 · 10th to 90th $200 to $5,012Professionalmedian $3,548 · 10th to 90th $2,188 to $5,129
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 $4,570.88 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,570.88 | $4,570.88 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $4,570.88 Typical High $4,786.30 | Professional | None | $2,754.23 | $4,570.88 | $4,786.30 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,238.72 Median $3,388.44 Typical High $3,548.13 | Professional | UE · Used equipment | $2,238.72 | $3,388.44 | $3,548.13 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | RR · Rental | $575.44 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $407.38 | Facility | None | $199.53 | $199.53 | $407.38 |
Cigna Setting Facility Modifier RR · Rental Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | RR · Rental | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $457.09 Typical High $6,456.54 | Professional | None | $199.53 | $457.09 | $6,456.54 |
Cigna Setting Professional Modifier RR · Rental Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | RR · Rental | $407.38 | $407.38 | $407.38 |
Medcost Setting Professional Modifier RR · Rental Typical Low $467.74 Median $501.19 Typical High $501.19 | Professional | RR · Rental | $467.74 | $501.19 | $501.19 |
Medcost Setting Facility Modifier None Typical Low $2,754.23 Median $4,570.88 Typical High $5,128.61 | Facility | None | $2,754.23 | $4,570.88 | $5,128.61 |
Medcost Setting Professional Modifier None Typical Low $4,786.30 Median $5,128.61 Typical High $5,128.61 | Professional | None | $4,786.30 | $5,128.61 | $5,128.61 |
Medcost Setting Professional Modifier RR · Rental Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | RR · Rental | $645.65 | $645.65 | $645.65 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,818.38 Typical High $4,073.80 | Professional | None | $1,737.80 | $2,818.38 | $4,073.80 |
United Setting Professional Modifier RR · Rental Typical Low $245.47 Median $363.08 Typical High $575.44 | Professional | RR · Rental | $245.47 | $363.08 | $575.44 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $2,137.96 Typical High $3,019.95 | Professional | UE · Used equipment | $1,318.26 | $2,137.96 | $3,019.95 |
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 $7,585.78 Median $7,585.78 Typical High $7,585.78 | Professional | 50 · Both sides | $7,585.78 | $7,585.78 | $7,585.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | 51 · Multiple procedures | $2,570.40 | $2,570.40 | $2,570.40 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 80 · Assistant surgeon | $1,023.29 | $1,023.29 | $1,023.29 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 81 · Minimal assistant surgeon | $707.95 | $707.95 | $707.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 82 · Assistant surgeon, no resident | $707.95 | $707.95 | $707.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | AS · PA/NP assist | $707.95 | $707.95 | $707.95 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | SH · Second concurrent infusion | $2,570.40 | $2,570.40 | $2,570.40 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | SJ · Third+ concurrent infusion | $2,570.40 | $2,570.40 | $2,570.40 |
Where North Carolina sits
The same service costs 14.8 times more in North Dakota 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· 29th of 51
$3,715
ND $6,457IL $437
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.