How much rates vary
Facilitymedian $4,786 · 10th to 90th $4,786 to $5,754Professionalmedian $4,786 · 10th to 90th $3,467 to $6,457
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 $5,370.32 Median $5,370.32 Typical High $5,370.32 | Facility | None | $5,370.32 | $5,370.32 | $5,370.32 |
Aetna Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $6,760.83 | Professional | None | $5,370.32 | $5,370.32 | $6,760.83 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $4,073.80 Median $4,073.80 Typical High $5,128.61 | Professional | UE · Used equipment | $4,073.80 | $4,073.80 | $5,128.61 |
BCBS North Carolina Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $7,762.47 | Facility | None | $6,456.54 | $6,456.54 | $7,762.47 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | RR · Rental | $645.65 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Cigna Setting Facility Modifier RR · Rental Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | RR · Rental | $478.63 | $478.63 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $4,073.80 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,073.80 | $4,786.30 | $4,786.30 |
Cigna Setting Professional Modifier RR · Rental Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | RR · Rental | $478.63 | $478.63 | $478.63 |
Medcost Setting Professional Modifier None Typical Low $4,168.69 Median $4,570.88 Typical High $4,570.88 | Professional | None | $4,168.69 | $4,570.88 | $4,570.88 |
Medcost Setting Facility Modifier None Typical Low $2,454.71 Median $5,370.32 Typical High $6,456.54 | Facility | None | $2,454.71 | $5,370.32 | $6,456.54 |
Medcost Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $6,456.54 | Professional | None | $5,754.40 | $5,754.40 | $6,456.54 |
Medcost Setting Professional Modifier RR · Rental Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | RR · Rental | $575.44 | $575.44 | $575.44 |
United Setting Professional Modifier None Typical Low $2,630.27 Median $3,890.45 Typical High $5,623.41 | Professional | None | $2,630.27 | $3,890.45 | $5,623.41 |
United Setting Professional Modifier RR · Rental Typical Low $263.03 Median $389.05 Typical High $562.34 | Professional | RR · Rental | $263.03 | $389.05 | $562.34 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,995.26 Median $2,951.21 Typical High $4,168.69 | Professional | UE · Used equipment | $1,995.26 | $2,951.21 | $4,168.69 |
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 $8,709.64 Median $8,709.64 Typical High $8,709.64 | Professional | 50 · Both sides | $8,709.64 | $8,709.64 | $8,709.64 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | 51 · Multiple procedures | $2,884.03 | $2,884.03 | $2,884.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | 80 · Assistant surgeon | $1,174.90 | $1,174.90 | $1,174.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 81 · Minimal assistant surgeon | $812.83 | $812.83 | $812.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 82 · Assistant surgeon, no resident | $812.83 | $812.83 | $812.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | AS · PA/NP assist | $812.83 | $812.83 | $812.83 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | SH · Second concurrent infusion | $2,884.03 | $2,884.03 | $2,884.03 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | SJ · Third+ concurrent infusion | $2,884.03 | $2,884.03 | $2,884.03 |
Where North Carolina sits
The same service costs 9.3 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· 36th of 51
$4,786
ND $8,913MS $955
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.