How much rates vary
Facilitymedian $22 · 10th to 90th $22 to $29Professionalmedian $20 · 10th to 90th $13 to $29
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 $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $22.91 Typical High $28.84 | Professional | None | $11.75 | $22.91 | $28.84 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $8.71 Median $17.38 Typical High $20.89 | Professional | UE · Used equipment | $8.71 | $17.38 | $20.89 |
BCBS North Carolina Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $34.67 | Facility | None | $28.84 | $28.84 | $34.67 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $2.75 Median $2.75 Typical High $2.75 | Professional | RR · Rental | $2.75 | $2.75 | $2.75 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $23.44 | Facility | None | $21.88 | $21.88 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $28.84 | Professional | None | $21.88 | $21.88 | $28.84 |
Medcost Setting Professional Modifier None Typical Low $19.95 Median $21.38 Typical High $21.38 | Professional | None | $19.95 | $21.38 | $21.38 |
Medcost Setting Facility Modifier None Typical Low $11.75 Median $22.91 Typical High $27.54 | Facility | None | $11.75 | $22.91 | $27.54 |
Medcost Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $28.84 | Professional | None | $19.95 | $19.95 | $28.84 |
Medcost Setting Professional Modifier RR · Rental Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | RR · Rental | $3.02 | $3.02 | $3.02 |
United Setting Professional Modifier None Typical Low $12.30 Median $16.98 Typical High $23.44 | Professional | None | $12.30 | $16.98 | $23.44 |
United Setting Professional Modifier RR · Rental Typical Low $1.23 Median $1.70 Typical High $2.34 | Professional | RR · Rental | $1.23 | $1.70 | $2.34 |
United Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $12.88 Typical High $17.78 | Professional | UE · Used equipment | $9.12 | $12.88 | $17.78 |
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 $30.20 Median $30.20 Typical High $33.11 | Professional | 50 · Both sides | $30.20 | $30.20 | $33.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $10.00 Median $10.00 Typical High $10.96 | Professional | 51 · Multiple procedures | $10.00 | $10.00 | $10.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.98 Median $3.98 Typical High $4.37 | Professional | 80 · Assistant surgeon | $3.98 | $3.98 | $4.37 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.82 Median $2.82 Typical High $3.09 | Professional | 81 · Minimal assistant surgeon | $2.82 | $2.82 | $3.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.82 Median $2.82 Typical High $3.09 | Professional | 82 · Assistant surgeon, no resident | $2.82 | $2.82 | $3.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.82 Median $2.82 Typical High $3.09 | Professional | AS · PA/NP assist | $2.82 | $2.82 | $3.09 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | SH · Second concurrent infusion | $10.00 | $10.00 | $10.00 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | SJ · Third+ concurrent infusion | $10.00 | $10.00 | $10.00 |
Where North Carolina sits
The same service costs 2.6 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· 36th of 51
$21.88
HI $39.81NM $15.49
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.