How much rates vary
Facilitymedian $72 · 10th to 90th $66 to $87Professionalmedian $66 · 10th to 90th $45 to $98
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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $74.13 Typical High $93.33 | Professional | None | $36.31 | $74.13 | $93.33 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $54.95 Typical High $63.10 | Professional | UE · Used equipment | $27.54 | $54.95 | $63.10 |
BCBS North Carolina Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $131.83 | Facility | None | $109.65 | $109.65 | $131.83 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | RR · Rental | $8.91 | $8.91 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $70.79 | Facility | None | $66.07 | $66.07 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $87.10 | Professional | None | $66.07 | $66.07 | $87.10 |
Medcost Setting Professional Modifier None Typical Low $61.66 Median $66.07 Typical High $66.07 | Professional | None | $61.66 | $66.07 | $66.07 |
Medcost Setting Facility Modifier None Typical Low $36.31 Median $74.13 Typical High $95.50 | Facility | None | $36.31 | $74.13 | $95.50 |
Medcost Setting Professional Modifier None Typical Low $64.57 Median $95.50 Typical High $97.72 | Professional | None | $64.57 | $95.50 | $97.72 |
Medcost Setting Professional Modifier RR · Rental Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | RR · Rental | $9.77 | $9.77 | $9.77 |
United Setting Professional Modifier None Typical Low $38.02 Median $56.23 Typical High $75.86 | Professional | None | $38.02 | $56.23 | $75.86 |
United Setting Professional Modifier RR · Rental Typical Low $3.72 Median $5.62 Typical High $7.59 | Professional | RR · Rental | $3.72 | $5.62 | $7.59 |
United Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $42.66 Typical High $57.54 | Professional | UE · Used equipment | $28.84 | $42.66 | $57.54 |
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 $97.72 Median $144.54 Typical High $144.54 | Professional | 50 · Both sides | $97.72 | $144.54 | $144.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $32.36 Median $48.98 Typical High $48.98 | Professional | 51 · Multiple procedures | $32.36 | $48.98 | $48.98 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.88 Median $19.50 Typical High $19.50 | Professional | 80 · Assistant surgeon | $12.88 | $19.50 | $19.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.12 Median $13.49 Typical High $13.49 | Professional | 81 · Minimal assistant surgeon | $9.12 | $13.49 | $13.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.12 Median $13.49 Typical High $13.49 | Professional | 82 · Assistant surgeon, no resident | $9.12 | $13.49 | $13.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.12 Median $13.49 Typical High $13.49 | Professional | AS · PA/NP assist | $9.12 | $13.49 | $13.49 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $32.36 Median $48.98 Typical High $48.98 | Professional | SH · Second concurrent infusion | $32.36 | $48.98 | $48.98 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $32.36 Median $48.98 Typical High $48.98 | Professional | SJ · Third+ concurrent infusion | $32.36 | $48.98 | $48.98 |
Where North Carolina sits
The same service costs 3.5 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· 35th of 51
$66.07
HI $170NM $47.86
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.