How much rates vary
Facilitymedian $95 · 10th to 90th $95 to $123Professionalmedian $100 · 10th to 90th $71 to $138
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $77.62 Median $104.71 Typical High $131.83 | Professional | None | $77.62 | $104.71 | $131.83 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $67.61 Median $77.62 Typical High $100.00 | Professional | UE · Used equipment | $67.61 | $77.62 | $100.00 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
BCBS North Carolina Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $165.96 | Facility | None | $138.04 | $138.04 | $165.96 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | RR · Rental | $13.49 | $13.49 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $102.33 | Facility | None | $95.50 | $95.50 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $123.03 | Professional | None | $95.50 | $95.50 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $95.50 Typical High $95.50 | Professional | None | $89.13 | $95.50 | $95.50 |
Medcost Setting Facility Modifier None Typical Low $52.48 Median $104.71 Typical High $138.04 | Facility | None | $52.48 | $104.71 | $138.04 |
Medcost Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $138.04 | Professional | None | $123.03 | $123.03 | $138.04 |
Medcost Setting Professional Modifier RR · Rental Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | RR · Rental | $14.45 | $14.45 | $14.45 |
United Setting Professional Modifier None Typical Low $54.95 Median $83.18 Typical High $117.49 | Professional | None | $54.95 | $83.18 | $117.49 |
United Setting Professional Modifier RR · Rental Typical Low $5.50 Median $8.32 Typical High $11.75 | Professional | RR · Rental | $5.50 | $8.32 | $11.75 |
United Setting Professional Modifier UE · Used equipment Typical Low $41.69 Median $63.10 Typical High $89.13 | Professional | UE · Used equipment | $41.69 | $63.10 | $89.13 |
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 $186.21 Median $186.21 Typical High $186.21 | Professional | 50 · Both sides | $186.21 | $186.21 | $186.21 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 51 · Multiple procedures | $61.66 | $61.66 | $61.66 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 80 · Assistant surgeon | $24.55 | $24.55 | $24.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 81 · Minimal assistant surgeon | $17.38 | $17.38 | $17.38 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 82 · Assistant surgeon, no resident | $17.38 | $17.38 | $17.38 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | AS · PA/NP assist | $17.38 | $17.38 | $17.38 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | SH · Second concurrent infusion | $61.66 | $61.66 | $61.66 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | SJ · Third+ concurrent infusion | $61.66 | $61.66 | $61.66 |
Where North Carolina sits
The same service costs 2.5 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· 34th of 51
$100
HI $178NM $70.79
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.