How much rates vary
Facilitymedian $95 · 10th to 90th $89 to $105Professionalmedian $91 · 10th to 90th $66 to $132
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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $123.03 | Professional | None | $95.50 | $95.50 | $123.03 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $70.79 Typical High $91.20 | Professional | UE · Used equipment | $70.79 | $70.79 | $91.20 |
BCBS North Carolina Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $158.49 | Facility | None | $131.83 | $131.83 | $158.49 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | RR · Rental | $12.59 | $12.59 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $102.33 | Professional | None | $89.13 | $89.13 | $102.33 |
Medcost Setting Professional Modifier None Typical Low $85.11 Median $91.20 Typical High $91.20 | Professional | None | $85.11 | $91.20 | $91.20 |
Medcost Setting Facility Modifier None Typical Low $50.12 Median $95.50 Typical High $117.49 | Facility | None | $50.12 | $95.50 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $131.83 | Professional | None | $117.49 | $117.49 | $131.83 |
Medcost Setting Professional Modifier RR · Rental Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | RR · Rental | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $52.48 Median $77.62 Typical High $112.20 | Professional | None | $52.48 | $77.62 | $112.20 |
United Setting Professional Modifier RR · Rental Typical Low $5.25 Median $7.76 Typical High $11.22 | Professional | RR · Rental | $5.25 | $7.76 | $11.22 |
United Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $57.54 Typical High $83.18 | Professional | UE · Used equipment | $39.81 | $57.54 | $83.18 |
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 $177.83 Median $177.83 Typical High $177.83 | Professional | 50 · Both sides | $177.83 | $177.83 | $177.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 51 · Multiple procedures | $58.88 | $58.88 | $58.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 80 · Assistant surgeon | $23.44 | $23.44 | $23.44 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 81 · Minimal assistant surgeon | $16.60 | $16.60 | $16.60 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 82 · Assistant surgeon, no resident | $16.60 | $16.60 | $16.60 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | AS · PA/NP assist | $16.60 | $16.60 | $16.60 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | SH · Second concurrent infusion | $58.88 | $58.88 | $58.88 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | SJ · Third+ concurrent infusion | $58.88 | $58.88 | $58.88 |
Where North Carolina sits
The same service costs 3.4 times more in Kansas 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· 33rd of 51
$93.33
KS $224NM $66.07
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.