How much rates vary
Facilitymedian $174 · 10th to 90th $151 to $182Professionalmedian $174 · 10th to 90th $98 to $214
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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $229.09 | Professional | None | $181.97 | $181.97 | $229.09 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $134.90 Median $134.90 Typical High $173.78 | Professional | UE · Used equipment | $134.90 | $134.90 | $173.78 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | RR · Rental | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Facility Modifier RR · Rental Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | RR · Rental | $17.38 | $17.38 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $173.78 | Professional | None | $147.91 | $173.78 | $173.78 |
Cigna Setting Professional Modifier RR · Rental Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | RR · Rental | $17.38 | $17.38 | $17.38 |
Medcost Setting Professional Modifier None Typical Low $131.83 Median $141.25 Typical High $141.25 | Professional | None | $131.83 | $141.25 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $77.62 Median $181.97 Typical High $213.80 | Facility | None | $77.62 | $181.97 | $213.80 |
Medcost Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $213.80 | Professional | None | $181.97 | $204.17 | $213.80 |
Medcost Setting Professional Modifier RR · Rental Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | RR · Rental | $21.38 | $21.38 | $21.38 |
United Setting Professional Modifier None Typical Low $81.28 Median $128.82 Typical High $169.82 | Professional | None | $81.28 | $128.82 | $169.82 |
United Setting Professional Modifier RR · Rental Typical Low $8.32 Median $13.18 Typical High $19.05 | Professional | RR · Rental | $8.32 | $13.18 | $19.05 |
United Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $95.50 Typical High $125.89 | Professional | UE · Used equipment | $61.66 | $95.50 | $125.89 |
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 $275.42 Median $316.23 Typical High $316.23 | Professional | 50 · Both sides | $275.42 | $316.23 | $316.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | 51 · Multiple procedures | $91.20 | $107.15 | $107.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $36.31 Median $42.66 Typical High $42.66 | Professional | 80 · Assistant surgeon | $36.31 | $42.66 | $42.66 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $25.70 Median $29.51 Typical High $29.51 | Professional | 81 · Minimal assistant surgeon | $25.70 | $29.51 | $29.51 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $25.70 Median $29.51 Typical High $29.51 | Professional | 82 · Assistant surgeon, no resident | $25.70 | $29.51 | $29.51 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $25.70 Median $29.51 Typical High $29.51 | Professional | AS · PA/NP assist | $25.70 | $29.51 | $29.51 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | SH · Second concurrent infusion | $91.20 | $107.15 | $107.15 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | SJ · Third+ concurrent infusion | $91.20 | $107.15 | $107.15 |
Where North Carolina sits
The same service costs 2.6 times more in North Dakota than in Washington. 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· 25th of 51
$174
ND $302WA $117
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.