How much rates vary
Facilitymedian $30 · 10th to 90th $25 to $43Professionalmedian $30 · 10th to 90th $17 to $50
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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $30.20 Typical High $36.31 | Professional | None | $16.60 | $30.20 | $36.31 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1.66 Median $1.66 Typical High $4.79 | Professional | RR · Rental | $1.66 | $1.66 | $4.79 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $22.39 Typical High $22.91 | Professional | UE · Used equipment | $12.59 | $22.39 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
BCBS North Carolina Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $60.26 | Facility | None | $50.12 | $50.12 | $60.26 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | RR · Rental | $3.89 | $3.89 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $32.36 | Facility | None | $24.55 | $24.55 | $32.36 |
Cigna Setting Facility Modifier RR · Rental Typical Low $2.45 Median $2.45 Typical High $3.24 | Facility | RR · Rental | $2.45 | $2.45 | $3.24 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $32.36 | Professional | None | $24.55 | $24.55 | $32.36 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.45 Median $2.45 Typical High $3.16 | Professional | RR · Rental | $2.45 | $2.45 | $3.16 |
Medcost Setting Professional Modifier None Typical Low $28.18 Median $30.20 Typical High $30.20 | Professional | None | $28.18 | $30.20 | $30.20 |
Medcost Setting Facility Modifier None Typical Low $16.60 Median $30.20 Typical High $43.65 | Facility | None | $16.60 | $30.20 | $43.65 |
Medcost Setting Professional Modifier None Typical Low $43.65 Median $50.12 Typical High $50.12 | Professional | None | $43.65 | $50.12 | $50.12 |
Medcost Setting Professional Modifier RR · Rental Typical Low $3.89 Median $4.57 Typical High $4.57 | Professional | RR · Rental | $3.89 | $4.57 | $4.57 |
United Setting Professional Modifier None Typical Low $16.60 Median $23.99 Typical High $33.88 | Professional | None | $16.60 | $23.99 | $33.88 |
United Setting Professional Modifier RR · Rental Typical Low $1.70 Median $2.40 Typical High $3.39 | Professional | RR · Rental | $1.70 | $2.40 | $3.39 |
United Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $17.78 Typical High $25.70 | Professional | UE · Used equipment | $12.59 | $17.78 | $25.70 |
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 $58.88 Median $75.86 Typical High $75.86 | Professional | 50 · Both sides | $58.88 | $75.86 | $75.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.50 Median $25.12 Typical High $25.12 | Professional | 51 · Multiple procedures | $19.50 | $25.12 | $25.12 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.76 Median $10.00 Typical High $10.00 | Professional | 80 · Assistant surgeon | $7.76 | $10.00 | $10.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.50 Median $7.08 Typical High $7.08 | Professional | 81 · Minimal assistant surgeon | $5.50 | $7.08 | $7.08 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.50 Median $7.08 Typical High $7.08 | Professional | 82 · Assistant surgeon, no resident | $5.50 | $7.08 | $7.08 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.50 Median $7.08 Typical High $7.08 | Professional | AS · PA/NP assist | $5.50 | $7.08 | $7.08 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | SH · Second concurrent infusion | $25.12 | $25.12 | $25.12 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | SJ · Third+ concurrent infusion | $25.12 | $25.12 | $25.12 |
Where North Carolina sits
The same service costs 13.5 times more in Kansas 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· 21st of 51
$30.20
KS $64.57IL $4.79
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.