How much rates vary
Facilitymedian $186 · 10th to 90th $174 to $355Professionalmedian $257 · 10th to 90th $174 to $363
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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $354.81 Typical High $446.68 | Professional | None | $309.03 | $354.81 | $446.68 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $269.15 Typical High $338.84 | Professional | UE · Used equipment | $269.15 | $269.15 | $338.84 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | RR · Rental | $38.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $173.78 Typical High $173.78 | Professional | None | $147.91 | $173.78 | $173.78 |
Medcost Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $257.04 | Professional | None | $239.88 | $257.04 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $331.13 Typical High $380.19 | Facility | None | $141.25 | $331.13 | $380.19 |
Medcost Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $363.08 | Professional | None | $331.13 | $331.13 | $363.08 |
Medcost Setting Professional Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $38.02 | Professional | RR · Rental | $33.11 | $33.11 | $38.02 |
United Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $295.12 | Professional | None | $147.91 | $199.53 | $295.12 |
United Setting Professional Modifier RR · Rental Typical Low $15.14 Median $23.99 Typical High $30.90 | Professional | RR · Rental | $15.14 | $23.99 | $30.90 |
United Setting Professional Modifier UE · Used equipment Typical Low $109.65 Median $151.36 Typical High $218.78 | Professional | UE · Used equipment | $109.65 | $151.36 | $218.78 |
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 $489.78 Median $489.78 Typical High $489.78 | Professional | 50 · Both sides | $489.78 | $489.78 | $489.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 51 · Multiple procedures | $165.96 | $165.96 | $165.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 80 · Assistant surgeon | $66.07 | $66.07 | $66.07 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 81 · Minimal assistant surgeon | $45.71 | $45.71 | $45.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 82 · Assistant surgeon, no resident | $45.71 | $45.71 | $45.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | AS · PA/NP assist | $45.71 | $45.71 | $45.71 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | SH · Second concurrent infusion | $165.96 | $165.96 | $165.96 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | SJ · Third+ concurrent infusion | $165.96 | $165.96 | $165.96 |
Where North Carolina sits
The same service costs 11.0 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· 35th of 51
$257
ND $589MS $53.70
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.