How much rates vary
Facilitymedian $2,399 · 10th to 90th $417 to $2,399Professionalmedian $1,660 · 10th to 90th $224 to $4,898
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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $2,398.83 Typical High $2,398.83 | Professional | None | $1,905.46 | $2,398.83 | $2,398.83 |
BCBS North Carolina Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $645.65 | Facility | None | $537.03 | $537.03 | $645.65 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | RR · Rental | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Facility Modifier RR · Rental Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | RR · Rental | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $1,513.56 Typical High $3,630.78 | Professional | None | $190.55 | $1,513.56 | $3,630.78 |
Cigna Setting Professional Modifier RR · Rental Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | RR · Rental | $173.78 | $173.78 | $173.78 |
Medcost Setting Professional Modifier RR · Rental Typical Low $346.74 Median $371.54 Typical High $371.54 | Professional | RR · Rental | $346.74 | $371.54 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $416.87 Median $2,344.23 Typical High $2,570.40 | Facility | None | $416.87 | $2,344.23 | $2,570.40 |
Medcost Setting Professional Modifier None Typical Low $562.34 Median $4,897.79 Typical High $4,897.79 | Professional | None | $562.34 | $4,897.79 | $4,897.79 |
Medcost Setting Professional Modifier RR · Rental Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | RR · Rental | $489.78 | $489.78 | $489.78 |
United Setting Professional Modifier None Typical Low $144.54 Median $380.19 Typical High $1,905.46 | Professional | None | $144.54 | $380.19 | $1,905.46 |
United Setting Professional Modifier RR · Rental Typical Low $114.82 Median $208.93 Typical High $389.05 | Professional | RR · Rental | $114.82 | $208.93 | $389.05 |
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 $1,513.56 Median $1,819.70 Typical High $1,819.70 | Professional | UE · Used equipment | $1,513.56 | $1,819.70 | $1,819.70 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $851.14 Median $7,244.36 Typical High $7,244.36 | Professional | 50 · Both sides | $851.14 | $7,244.36 | $7,244.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $281.84 Median $2,398.83 Typical High $2,398.83 | Professional | 51 · Multiple procedures | $281.84 | $2,398.83 | $2,398.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $112.20 Median $977.24 Typical High $977.24 | Professional | 80 · Assistant surgeon | $112.20 | $977.24 | $977.24 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $79.43 Median $676.08 Typical High $676.08 | Professional | 81 · Minimal assistant surgeon | $79.43 | $676.08 | $676.08 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $79.43 Median $676.08 Typical High $676.08 | Professional | 82 · Assistant surgeon, no resident | $79.43 | $676.08 | $676.08 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $79.43 Median $676.08 Typical High $676.08 | Professional | AS · PA/NP assist | $79.43 | $676.08 | $676.08 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $281.84 Median $2,398.83 Typical High $2,398.83 | Professional | SH · Second concurrent infusion | $281.84 | $2,398.83 | $2,398.83 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $281.84 Median $2,398.83 Typical High $2,398.83 | Professional | SJ · Third+ concurrent infusion | $281.84 | $2,398.83 | $2,398.83 |
Where North Carolina sits
The same service costs 28.8 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· 19th of 51
$1,905
SC $5,012IL $174
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.