How much rates vary
Facilitymedian $2,138 · 10th to 90th $191 to $2,455Professionalmedian $2,138 · 10th to 90th $1,072 to $2,630
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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,019.95 | Professional | None | $2,454.71 | $2,454.71 | $3,019.95 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,819.70 Median $1,819.70 Typical High $2,238.72 | Professional | UE · Used equipment | $1,819.70 | $1,819.70 | $2,238.72 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | RR · Rental | $269.15 | $269.15 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $2,137.96 Typical High $2,290.87 | Professional | None | $1,819.70 | $2,137.96 | $2,290.87 |
Medcost Setting Professional Modifier RR · Rental Typical Low $151.36 Median $165.96 Typical High $165.96 | Professional | RR · Rental | $151.36 | $165.96 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $2,454.71 Typical High $2,630.27 | Facility | None | $190.55 | $2,454.71 | $2,630.27 |
Medcost Setting Professional Modifier None Typical Low $1,778.28 Median $2,511.89 Typical High $2,630.27 | Professional | None | $1,778.28 | $2,511.89 | $2,630.27 |
Medcost Setting Professional Modifier RR · Rental Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | RR · Rental | $263.03 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,318.26 Typical High $1,995.26 | Professional | None | $977.24 | $1,318.26 | $1,995.26 |
United Setting Professional Modifier RR · Rental Typical Low $102.33 Median $165.96 Typical High $213.80 | Professional | RR · Rental | $102.33 | $165.96 | $213.80 |
United Setting Professional Modifier UE · Used equipment Typical Low $691.83 Median $977.24 Typical High $1,513.56 | Professional | UE · Used equipment | $691.83 | $977.24 | $1,513.56 |
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 $2,630.27 Median $3,981.07 Typical High $3,981.07 | Professional | 50 · Both sides | $2,630.27 | $3,981.07 | $3,981.07 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $891.25 Median $1,318.26 Typical High $1,318.26 | Professional | 51 · Multiple procedures | $891.25 | $1,318.26 | $1,318.26 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $354.81 Median $524.81 Typical High $524.81 | Professional | 80 · Assistant surgeon | $354.81 | $524.81 | $524.81 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $245.47 Median $371.54 Typical High $371.54 | Professional | 81 · Minimal assistant surgeon | $245.47 | $371.54 | $371.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $245.47 Median $371.54 Typical High $371.54 | Professional | 82 · Assistant surgeon, no resident | $245.47 | $371.54 | $371.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $245.47 Median $371.54 Typical High $371.54 | Professional | AS · PA/NP assist | $245.47 | $371.54 | $371.54 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $891.25 Median $1,318.26 Typical High $1,318.26 | Professional | SH · Second concurrent infusion | $891.25 | $1,318.26 | $1,318.26 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $891.25 Median $1,318.26 Typical High $1,318.26 | Professional | SJ · Third+ concurrent infusion | $891.25 | $1,318.26 | $1,318.26 |
Where North Carolina sits
The same service costs 11.0 times more in North Dakota 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· 21st of 51
$2,138
ND $3,631MS $331
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.