How much rates vary
Facilitymedian $240 · 10th to 90th $33 to $363Professionalmedian $240 · 10th to 90th $155 to $1,778
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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $363.08 Typical High $426.58 | Professional | None | $173.78 | $363.08 | $426.58 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $269.15 Typical High $338.84 | Professional | UE · Used equipment | $229.09 | $269.15 | $338.84 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | RR · Rental | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $239.88 Typical High $239.88 | Facility | None | $234.42 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $239.88 Typical High $257.04 | Professional | None | $234.42 | $239.88 | $257.04 |
Medcost Setting Professional Modifier RR · Rental Typical Low $28.18 Median $30.20 Typical High $30.20 | Professional | RR · Rental | $28.18 | $30.20 | $30.20 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $363.08 Typical High $398.11 | Facility | None | $33.11 | $363.08 | $398.11 |
Medcost Setting Professional Modifier None Typical Low $245.47 Median $1,778.28 Typical High $1,778.28 | Professional | None | $245.47 | $1,778.28 | $1,778.28 |
Medcost Setting Professional Modifier RR · Rental Typical Low $26.30 Median $45.71 Typical High $45.71 | Professional | RR · Rental | $26.30 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $141.25 Median $190.55 Typical High $251.19 | Professional | None | $141.25 | $190.55 | $251.19 |
United Setting Professional Modifier RR · Rental Typical Low $17.78 Median $27.54 Typical High $37.15 | Professional | RR · Rental | $17.78 | $27.54 | $37.15 |
United Setting Professional Modifier UE · Used equipment Typical Low $107.15 Median $141.25 Typical High $190.55 | Professional | UE · Used equipment | $107.15 | $141.25 | $190.55 |
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 $1,096.48 Median $2,630.27 Typical High $2,630.27 | Professional | 50 · Both sides | $1,096.48 | $2,630.27 | $2,630.27 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $363.08 Median $891.25 Typical High $891.25 | Professional | 51 · Multiple procedures | $363.08 | $891.25 | $891.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $354.81 Typical High $354.81 | Professional | 80 · Assistant surgeon | $144.54 | $354.81 | $354.81 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $102.33 Median $245.47 Typical High $245.47 | Professional | 81 · Minimal assistant surgeon | $102.33 | $245.47 | $245.47 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $102.33 Median $245.47 Typical High $245.47 | Professional | 82 · Assistant surgeon, no resident | $102.33 | $245.47 | $245.47 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $102.33 Median $245.47 Typical High $245.47 | Professional | AS · PA/NP assist | $102.33 | $245.47 | $245.47 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | SH · Second concurrent infusion | $891.25 | $891.25 | $891.25 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | SJ · Third+ concurrent infusion | $891.25 | $891.25 | $891.25 |
Where North Carolina sits
The same service costs 12.3 times more in Kansas than in Mississippi. 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· 33rd of 51
$240
KS $708MS $57.54
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.