How much rates vary
Facilitymedian $794 · 10th to 90th $389 to $933Professionalmedian $676 · 10th to 90th $457 to $933
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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $933.25 Typical High $933.25 | Professional | None | $758.58 | $933.25 | $933.25 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $575.44 Median $707.95 Typical High $707.95 | Professional | UE · Used equipment | $575.44 | $707.95 | $707.95 |
BCBS Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $123.03 | Facility | None | $102.33 | $102.33 | $123.03 |
BCBS Setting Professional Modifier RR · Rental Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | RR · Rental | $104.71 | $104.71 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $812.83 | Facility | None | $794.33 | $794.33 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $812.83 | Professional | None | $676.08 | $794.33 | $812.83 |
Medcost Setting Facility Modifier None Typical Low $389.05 Median $758.58 Typical High $933.25 | Facility | None | $389.05 | $758.58 | $933.25 |
Medcost Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $758.58 | Professional | None | $457.09 | $457.09 | $758.58 |
Medcost Setting Professional Modifier RR · Rental Typical Low $45.71 Median $45.71 Typical High $100.00 | Professional | RR · Rental | $45.71 | $45.71 | $100.00 |
United Setting Professional Modifier None Typical Low $446.68 Median $630.96 Typical High $891.25 | Professional | None | $446.68 | $630.96 | $891.25 |
United Setting Professional Modifier RR · Rental Typical Low $44.67 Median $63.10 Typical High $89.13 | Professional | RR · Rental | $44.67 | $63.10 | $89.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $478.63 Typical High $676.08 | Professional | UE · Used equipment | $331.13 | $478.63 | $676.08 |
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 $691.83 Median $691.83 Typical High $1,122.02 | Professional | 50 · Both sides | $691.83 | $691.83 | $1,122.02 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $229.09 Median $229.09 Typical High $371.54 | Professional | 51 · Multiple procedures | $229.09 | $229.09 | $371.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $91.20 Median $91.20 Typical High $151.36 | Professional | 80 · Assistant surgeon | $91.20 | $91.20 | $151.36 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $64.57 Median $64.57 Typical High $104.71 | Professional | 81 · Minimal assistant surgeon | $64.57 | $64.57 | $104.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $64.57 Median $64.57 Typical High $104.71 | Professional | 82 · Assistant surgeon, no resident | $64.57 | $64.57 | $104.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $64.57 Median $64.57 Typical High $104.71 | Professional | AS · PA/NP assist | $64.57 | $64.57 | $104.71 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | SH · Second concurrent infusion | $229.09 | $229.09 | $229.09 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | SJ · Third+ concurrent infusion | $229.09 | $229.09 | $229.09 |
Where North Carolina sits
The same service costs 11.5 times more in North Dakota 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· 38th of 51
$759
ND $1,549NM $135
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.