How much rates vary
Facilitymedian $129 · 10th to 90th $129 to $138Professionalmedian $132 · 10th to 90th $74 to $204
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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $131.83 Typical High $165.96 | Professional | None | $77.62 | $131.83 | $165.96 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $100.00 Typical High $112.20 | Professional | UE · Used equipment | $57.54 | $100.00 | $112.20 |
BCBS North Carolina Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $239.88 | Facility | None | $199.53 | $199.53 | $239.88 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | RR · Rental | $17.78 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $131.83 | Facility | None | $128.82 | $128.82 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $131.83 | Professional | None | $128.82 | $128.82 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $131.83 Median $141.25 Typical High $141.25 | Professional | None | $131.83 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $77.62 Median $131.83 Typical High $158.49 | Facility | None | $77.62 | $131.83 | $158.49 |
Medcost Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $204.17 | Professional | None | $181.97 | $181.97 | $204.17 |
Medcost Setting Professional Modifier RR · Rental Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | RR · Rental | $21.38 | $21.38 | $21.38 |
United Setting Professional Modifier None Typical Low $67.61 Median $112.20 Typical High $144.54 | Professional | None | $67.61 | $112.20 | $144.54 |
United Setting Professional Modifier RR · Rental Typical Low $7.59 Median $11.22 Typical High $15.85 | Professional | RR · Rental | $7.59 | $11.22 | $15.85 |
United Setting Professional Modifier UE · Used equipment Typical Low $50.12 Median $83.18 Typical High $109.65 | Professional | UE · Used equipment | $50.12 | $83.18 | $109.65 |
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 $275.42 Median $275.42 Typical High $275.42 | Professional | 50 · Both sides | $275.42 | $275.42 | $275.42 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 51 · Multiple procedures | $91.20 | $91.20 | $91.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 80 · Assistant surgeon | $36.31 | $36.31 | $36.31 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 81 · Minimal assistant surgeon | $25.70 | $25.70 | $25.70 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 82 · Assistant surgeon, no resident | $25.70 | $25.70 | $25.70 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | AS · PA/NP assist | $25.70 | $25.70 | $25.70 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | SH · Second concurrent infusion | $91.20 | $91.20 | $91.20 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | SJ · Third+ concurrent infusion | $91.20 | $91.20 | $91.20 |
Where North Carolina sits
The same service costs 2.8 times more in Hawaii than in New Mexico. 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· 27th of 51
$132
HI $224NM $79.43
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.