How much rates vary
Facilitymedian $372 · 10th to 90th $33 to $389Professionalmedian $324 · 10th to 90th $178 to $427
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 $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $371.54 Typical High $467.74 | Professional | None | $194.98 | $371.54 | $467.74 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $117.49 Median $275.42 Typical High $331.13 | Professional | UE · Used equipment | $117.49 | $275.42 | $331.13 |
BCBS North Carolina Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $58.88 | Facility | None | $48.98 | $48.98 | $58.88 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | RR · Rental | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $44.67 | Facility | RR · Rental | $38.02 | $38.02 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $380.19 | Professional | None | $323.59 | $380.19 | $380.19 |
Cigna Setting Professional Modifier RR · Rental Typical Low $33.88 Median $38.02 Typical High $40.74 | Professional | RR · Rental | $33.88 | $38.02 | $40.74 |
Medcost Setting Professional Modifier RR · Rental Typical Low $28.18 Median $30.20 Typical High $30.20 | Professional | RR · Rental | $28.18 | $30.20 | $30.20 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $371.54 Typical High $407.38 | Facility | None | $33.11 | $371.54 | $407.38 |
Medcost Setting Professional Modifier None Typical Low $316.23 Median $426.58 Typical High $426.58 | Professional | None | $316.23 | $426.58 | $426.58 |
Medcost 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 |
United Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $316.23 | Professional | None | $177.83 | $218.78 | $316.23 |
United Setting Professional Modifier RR · Rental Typical Low $20.42 Median $27.54 Typical High $38.90 | Professional | RR · Rental | $20.42 | $27.54 | $38.90 |
United Setting Professional Modifier UE · Used equipment Typical Low $134.90 Median $165.96 Typical High $234.42 | Professional | UE · Used equipment | $134.90 | $165.96 | $234.42 |
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 $645.65 Median $645.65 Typical High $645.65 | Professional | 50 · Both sides | $645.65 | $645.65 | $645.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 51 · Multiple procedures | $213.80 | $213.80 | $213.80 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 80 · Assistant surgeon | $85.11 | $85.11 | $85.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 81 · Minimal assistant surgeon | $60.26 | $60.26 | $60.26 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 82 · Assistant surgeon, no resident | $60.26 | $60.26 | $60.26 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | AS · PA/NP assist | $60.26 | $60.26 | $60.26 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | SH · Second concurrent infusion | $213.80 | $213.80 | $213.80 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | SJ · Third+ concurrent infusion | $213.80 | $213.80 | $213.80 |
Where North Carolina sits
The same service costs 17.8 times more in Kansas than in Illinois. 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· 16th of 51
$372
KS $724IL $40.74
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.