How much rates vary
Facilitymedian $71 · 10th to 90th $58 to $85Professionalmedian $71 · 10th to 90th $47 to $110
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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $70.79 Typical High $81.28 | Professional | None | $44.67 | $70.79 | $81.28 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $35.48 Median $52.48 Typical High $56.23 | Professional | UE · Used equipment | $35.48 | $52.48 | $56.23 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | RR · Rental | $9.55 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $75.86 | Facility | None | $57.54 | $57.54 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $102.33 | Professional | None | $57.54 | $57.54 | $102.33 |
Medcost Setting Professional Modifier None Typical Low $75.86 Median $81.28 Typical High $81.28 | Professional | None | $75.86 | $81.28 | $81.28 |
Medcost Setting Facility Modifier None Typical Low $44.67 Median $70.79 Typical High $100.00 | Facility | None | $44.67 | $70.79 | $100.00 |
Medcost Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | None | $100.00 | $100.00 | $109.65 |
Medcost Setting Professional Modifier RR · Rental Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | RR · Rental | $11.75 | $11.75 | $11.75 |
United Setting Professional Modifier None Typical Low $38.02 Median $58.88 Typical High $79.43 | Professional | None | $38.02 | $58.88 | $79.43 |
United Setting Professional Modifier RR · Rental Typical Low $3.89 Median $5.89 Typical High $8.32 | Professional | RR · Rental | $3.89 | $5.89 | $8.32 |
United Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $43.65 Typical High $60.26 | Professional | UE · Used equipment | $28.84 | $43.65 | $60.26 |
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 $147.91 Median $147.91 Typical High $147.91 | Professional | 50 · Both sides | $147.91 | $147.91 | $147.91 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 51 · Multiple procedures | $48.98 | $48.98 | $48.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 80 · Assistant surgeon | $19.95 | $19.95 | $19.95 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 81 · Minimal assistant surgeon | $13.80 | $13.80 | $13.80 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 82 · Assistant surgeon, no resident | $13.80 | $13.80 | $13.80 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | AS · PA/NP assist | $13.80 | $13.80 | $13.80 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | SH · Second concurrent infusion | $48.98 | $48.98 | $48.98 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | SJ · Third+ concurrent infusion | $48.98 | $48.98 | $48.98 |
Where North Carolina sits
The same service costs 3.7 times more in Hawaii 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· 19th of 51
$70.79
HI $166NM $44.67
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.