How much rates vary
Facilitymedian $603 · 10th to 90th $603 to $1,047Professionalmedian $813 · 10th to 90th $575 to $1,175
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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,230.27 | Professional | None | $977.24 | $977.24 | $1,230.27 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $741.31 Median $741.31 Typical High $912.01 | Professional | UE · Used equipment | $741.31 | $741.31 | $912.01 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | RR · Rental | $114.82 | $114.82 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $602.56 | Professional | None | $512.86 | $602.56 | $602.56 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $812.83 Typical High $812.83 | Professional | None | $758.58 | $812.83 | $812.83 |
Medcost Setting Facility Modifier None Typical Low $446.68 Median $977.24 Typical High $1,174.90 | Facility | None | $446.68 | $977.24 | $1,174.90 |
Medcost Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,174.90 | Professional | None | $1,047.13 | $1,047.13 | $1,174.90 |
Medcost Setting Professional Modifier RR · Rental Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | RR · Rental | $123.03 | $123.03 | $123.03 |
United Setting Professional Modifier None Typical Low $478.63 Median $707.95 Typical High $1,023.29 | Professional | None | $478.63 | $707.95 | $1,023.29 |
United Setting Professional Modifier RR · Rental Typical Low $47.86 Median $70.79 Typical High $102.33 | Professional | RR · Rental | $47.86 | $70.79 | $102.33 |
United Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $537.03 Typical High $758.58 | Professional | UE · Used equipment | $363.08 | $537.03 | $758.58 |
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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | 50 · Both sides | $1,584.89 | $1,584.89 | $1,584.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 51 · Multiple procedures | $524.81 | $524.81 | $524.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 80 · Assistant surgeon | $208.93 | $208.93 | $208.93 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 81 · Minimal assistant surgeon | $147.91 | $147.91 | $147.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 82 · Assistant surgeon, no resident | $147.91 | $147.91 | $147.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | AS · PA/NP assist | $147.91 | $147.91 | $147.91 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | SH · Second concurrent infusion | $524.81 | $524.81 | $524.81 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | SJ · Third+ concurrent infusion | $524.81 | $524.81 | $524.81 |
Where North Carolina sits
The same service costs 9.5 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· 32nd of 51
$813
ND $1,622MS $170
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.