How much rates vary
Facilitymedian $339 · 10th to 90th $302 to $2,188Professionalmedian $1,148 · 10th to 90th $214 to $3,981
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 $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $2,187.76 | Professional | None | $1,862.09 | $2,187.76 | $2,187.76 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | RR · Rental | $302.00 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $302.00 | Professional | None | $257.04 | $302.00 | $302.00 |
Medcost Setting Professional Modifier RR · Rental Typical Low $281.84 Median $309.03 Typical High $309.03 | Professional | RR · Rental | $281.84 | $309.03 | $309.03 |
Medcost Setting Facility Modifier None Typical Low $338.84 Median $1,949.84 Typical High $2,344.23 | Facility | None | $338.84 | $1,949.84 | $2,344.23 |
Medcost Setting Professional Modifier None Typical Low $467.74 Median $3,981.07 Typical High $3,981.07 | Professional | None | $467.74 | $3,981.07 | $3,981.07 |
Medcost Setting Professional Modifier RR · Rental Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | RR · Rental | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $154.88 Median $251.19 Typical High $2,041.74 | Professional | None | $154.88 | $251.19 | $2,041.74 |
United Setting Professional Modifier RR · Rental Typical Low $104.71 Median $194.98 Typical High $323.59 | Professional | RR · Rental | $104.71 | $194.98 | $323.59 |
9 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,412.54 Median $1,659.59 Typical High $1,659.59 | Professional | UE · Used equipment | $1,412.54 | $1,659.59 | $1,659.59 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $707.95 Median $6,025.60 Typical High $6,025.60 | Professional | 50 · Both sides | $707.95 | $6,025.60 | $6,025.60 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $234.42 Median $1,995.26 Typical High $1,995.26 | Professional | 51 · Multiple procedures | $234.42 | $1,995.26 | $1,995.26 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $93.33 Median $794.33 Typical High $794.33 | Professional | 80 · Assistant surgeon | $93.33 | $794.33 | $794.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $66.07 Median $562.34 Typical High $562.34 | Professional | 81 · Minimal assistant surgeon | $66.07 | $562.34 | $562.34 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $66.07 Median $562.34 Typical High $562.34 | Professional | 82 · Assistant surgeon, no resident | $66.07 | $562.34 | $562.34 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $66.07 Median $562.34 Typical High $562.34 | Professional | AS · PA/NP assist | $66.07 | $562.34 | $562.34 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $234.42 Median $1,995.26 Typical High $1,995.26 | Professional | SH · Second concurrent infusion | $234.42 | $1,995.26 | $1,995.26 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $234.42 Median $1,995.26 Typical High $1,995.26 | Professional | SJ · Third+ concurrent infusion | $234.42 | $1,995.26 | $1,995.26 |
Where North Carolina sits
The same service costs 20.9 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
$490
SC $3,981IL $191
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.