How much rates vary
Facilitymedian $447 · 10th to 90th $72 to $933Professionalmedian $562 · 10th to 90th $389 to $1,047
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 $389.05 Median $933.25 Typical High $1,174.90 | Professional | None | $389.05 | $933.25 | $1,174.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $691.83 Typical High $891.25 | Professional | UE · Used equipment | $234.42 | $691.83 | $891.25 |
BCBS North Carolina Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $131.83 | Facility | None | $109.65 | $109.65 | $131.83 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | RR · Rental | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier RR · Rental Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | RR · Rental | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $446.68 | Professional | None | $380.19 | $446.68 | $446.68 |
Cigna 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 |
Medcost Setting Professional Modifier RR · Rental Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | RR · Rental | $66.07 | $70.79 | $70.79 |
Medcost Setting Facility Modifier None Typical Low $72.44 Median $933.25 Typical High $1,023.29 | Facility | None | $72.44 | $933.25 | $1,023.29 |
Medcost Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | None | $1,047.13 | $1,047.13 | $1,047.13 |
Medcost Setting Professional Modifier RR · Rental Typical Low $75.86 Median $75.86 Typical High $97.72 | Professional | RR · Rental | $75.86 | $75.86 | $97.72 |
United Setting Professional Modifier None Typical Low $363.08 Median $537.03 Typical High $812.83 | Professional | None | $363.08 | $537.03 | $812.83 |
United Setting Professional Modifier RR · Rental Typical Low $41.69 Median $63.10 Typical High $85.11 | Professional | RR · Rental | $41.69 | $63.10 | $85.11 |
United Setting Professional Modifier UE · Used equipment Typical Low $275.42 Median $398.11 Typical High $602.56 | Professional | UE · Used equipment | $275.42 | $398.11 | $602.56 |
9 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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier NR · New when rented Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | NR · New when rented | $363.08 | $363.08 | $363.08 |
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 16.2 times more in Kansas 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· 40th of 51
$537
KS $2,089MS $129
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.