How much rates vary
Facilitymedian $1,622 · 10th to 90th $1,479 to $1,862Professionalmedian $1,622 · 10th to 90th $933 to $1,905
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,344.23 | Professional | None | $1,862.09 | $1,862.09 | $2,344.23 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,412.54 Median $1,412.54 Typical High $1,737.80 | Professional | UE · Used equipment | $1,412.54 | $1,412.54 | $1,737.80 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,630.27 | Facility | None | $2,187.76 | $2,187.76 | $2,630.27 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | RR · Rental | $204.17 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Facility Modifier RR · Rental Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | RR · Rental | $162.18 | $162.18 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $1,380.38 Median $1,621.81 Typical High $1,621.81 | Professional | None | $1,380.38 | $1,621.81 | $1,621.81 |
Cigna Setting Professional Modifier RR · Rental Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | RR · Rental | $162.18 | $162.18 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $1,230.27 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,230.27 | $1,348.96 | $1,348.96 |
Medcost Setting Facility Modifier None Typical Low $724.44 Median $1,737.80 Typical High $1,995.26 | Facility | None | $724.44 | $1,737.80 | $1,995.26 |
Medcost Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,905.46 | Professional | None | $1,737.80 | $1,737.80 | $1,905.46 |
Medcost Setting Professional Modifier RR · Rental Typical Low $158.49 Median $158.49 Typical High $199.53 | Professional | RR · Rental | $158.49 | $158.49 | $199.53 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,047.13 Typical High $1,513.56 | Professional | None | $758.58 | $1,047.13 | $1,513.56 |
United Setting Professional Modifier RR · Rental Typical Low $75.86 Median $112.20 Typical High $154.88 | Professional | RR · Rental | $75.86 | $112.20 | $154.88 |
United Setting Professional Modifier UE · Used equipment Typical Low $588.84 Median $812.83 Typical High $1,148.15 | Professional | UE · Used equipment | $588.84 | $812.83 | $1,148.15 |
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 $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | 50 · Both sides | $2,570.40 | $2,570.40 | $2,570.40 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | 51 · Multiple procedures | $851.14 | $851.14 | $851.14 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 80 · Assistant surgeon | $346.74 | $346.74 | $346.74 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 81 · Minimal assistant surgeon | $239.88 | $239.88 | $239.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 82 · Assistant surgeon, no resident | $239.88 | $239.88 | $239.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | AS · PA/NP assist | $239.88 | $239.88 | $239.88 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | SH · Second concurrent infusion | $851.14 | $851.14 | $851.14 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | SJ · Third+ concurrent infusion | $851.14 | $851.14 | $851.14 |
Where North Carolina sits
The same service costs 10.7 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· 23rd of 51
$1,622
ND $3,020MS $282
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.