How much rates vary
Facilitymedian $36 · 10th to 90th $34 to $39Professionalmedian $36 · 10th to 90th $24 to $44
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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $37.15 Typical High $48.98 | Professional | None | $32.36 | $37.15 | $48.98 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $27.54 Typical High $36.31 | Professional | UE · Used equipment | $24.55 | $27.54 | $36.31 |
Ambetter Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
BCBS North Carolina Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $52.48 | Facility | None | $43.65 | $43.65 | $52.48 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | RR · Rental | $4.37 | $4.37 | $4.37 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $43.65 | Professional | None | $36.31 | $36.31 | $43.65 |
Medcost Setting Professional Modifier None Typical Low $30.20 Median $32.36 Typical High $32.36 | Professional | None | $30.20 | $32.36 | $32.36 |
Medcost Setting Facility Modifier None Typical Low $19.50 Median $37.15 Typical High $44.67 | Facility | None | $19.50 | $37.15 | $44.67 |
Medcost Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $43.65 | Professional | None | $38.90 | $38.90 | $43.65 |
Medcost Setting Professional Modifier RR · Rental Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | RR · Rental | $4.57 | $4.57 | $4.57 |
United Setting Professional Modifier None Typical Low $20.89 Median $27.54 Typical High $39.81 | Professional | None | $20.89 | $27.54 | $39.81 |
United Setting Professional Modifier RR · Rental Typical Low $2.04 Median $2.69 Typical High $3.98 | Professional | RR · Rental | $2.04 | $2.69 | $3.98 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $20.42 Typical High $29.51 | Professional | UE · Used equipment | $15.49 | $20.42 | $29.51 |
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 $58.88 Typical High $58.88 | Professional | 50 · Both sides | $58.88 | $58.88 | $58.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 51 · Multiple procedures | $19.50 | $19.50 | $19.50 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 80 · Assistant surgeon | $7.76 | $7.76 | $7.76 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | 81 · Minimal assistant surgeon | $5.50 | $5.50 | $5.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | 82 · Assistant surgeon, no resident | $5.50 | $5.50 | $5.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | AS · PA/NP assist | $5.50 | $5.50 | $5.50 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | SH · Second concurrent infusion | $19.50 | $19.50 | $19.50 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | SJ · Third+ concurrent infusion | $19.50 | $19.50 | $19.50 |
Where North Carolina sits
The same service costs 2.3 times more in Kansas 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· 40th of 51
$36.31
KS $61.66NM $26.30
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.