How much rates vary
Facilitymedian $2,570 · 10th to 90th $468 to $3,715Professionalmedian $2,570 · 10th to 90th $263 to $5,495
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 $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $2,570.40 Typical High $2,570.40 | Professional | None | $1,905.46 | $2,570.40 | $2,570.40 |
BCBS North Carolina Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $741.31 | Facility | None | $616.60 | $616.60 | $741.31 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | RR · Rental | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $3,715.35 | Professional | None | $2,884.03 | $3,715.35 | $3,715.35 |
Medcost Setting Professional Modifier RR · Rental Typical Low $398.11 Median $426.58 Typical High $426.58 | Professional | RR · Rental | $398.11 | $426.58 | $426.58 |
Medcost Setting Facility Modifier None Typical Low $467.74 Median $2,344.23 Typical High $2,691.53 | Facility | None | $467.74 | $2,344.23 | $2,691.53 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $5,495.41 Typical High $5,495.41 | Professional | None | $645.65 | $5,495.41 | $5,495.41 |
Medcost Setting Professional Modifier RR · Rental Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | RR · Rental | $549.54 | $549.54 | $549.54 |
United Setting Professional Modifier None Typical Low $181.97 Median $346.74 Typical High $2,290.87 | Professional | None | $181.97 | $346.74 | $2,290.87 |
United Setting Professional Modifier RR · Rental Typical Low $120.23 Median $245.47 Typical High $446.68 | Professional | RR · Rental | $120.23 | $245.47 | $446.68 |
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 $1,621.81 Median $1,905.46 Typical High $1,905.46 | Professional | UE · Used equipment | $1,621.81 | $1,905.46 | $1,905.46 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $977.24 Median $8,317.64 Typical High $8,317.64 | Professional | 50 · Both sides | $977.24 | $8,317.64 | $8,317.64 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $323.59 Median $2,754.23 Typical High $2,754.23 | Professional | 51 · Multiple procedures | $323.59 | $2,754.23 | $2,754.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $128.82 Median $1,096.48 Typical High $1,096.48 | Professional | 80 · Assistant surgeon | $128.82 | $1,096.48 | $1,096.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $91.20 Median $776.25 Typical High $776.25 | Professional | 81 · Minimal assistant surgeon | $91.20 | $776.25 | $776.25 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $91.20 Median $776.25 Typical High $776.25 | Professional | 82 · Assistant surgeon, no resident | $91.20 | $776.25 | $776.25 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $91.20 Median $776.25 Typical High $776.25 | Professional | AS · PA/NP assist | $91.20 | $776.25 | $776.25 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $323.59 Median $2,754.23 Typical High $2,754.23 | Professional | SH · Second concurrent infusion | $323.59 | $2,754.23 | $2,754.23 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $323.59 Median $2,754.23 Typical High $2,754.23 | Professional | SJ · Third+ concurrent infusion | $323.59 | $2,754.23 | $2,754.23 |
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· 15th of 51
$2,570
SC $5,495IL $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.