How much rates vary
Facilitymedian $468 · 10th to 90th $85 to $1,096Professionalmedian $676 · 10th to 90th $468 to $1,122
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $1,096.48 Typical High $1,174.90 | Professional | None | $478.63 | $1,096.48 | $1,174.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $812.83 Typical High $954.99 | Professional | UE · Used equipment | $295.12 | $812.83 | $954.99 |
BCBS North Carolina Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $154.88 | Facility | None | $128.82 | $128.82 | $154.88 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | RR · Rental | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Facility Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | RR · Rental | $46.77 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $467.74 Typical High $489.78 | Professional | None | $398.11 | $467.74 | $489.78 |
Cigna Setting Professional Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | RR · Rental | $46.77 | $46.77 | $46.77 |
Medcost Setting Professional Modifier RR · Rental Typical Low $70.79 Median $75.86 Typical High $75.86 | Professional | RR · Rental | $70.79 | $75.86 | $75.86 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $1,096.48 Typical High $1,148.15 | Facility | None | $85.11 | $1,096.48 | $1,148.15 |
Medcost Setting Professional Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,122.02 | $1,122.02 | $1,122.02 |
Medcost Setting Professional Modifier RR · Rental Typical Low $85.11 Median $85.11 Typical High $107.15 | Professional | RR · Rental | $85.11 | $85.11 | $107.15 |
United Setting Professional Modifier None Typical Low $457.09 Median $660.69 Typical High $1,000.00 | Professional | None | $457.09 | $660.69 | $1,000.00 |
United Setting Professional Modifier RR · Rental Typical Low $51.29 Median $74.13 Typical High $100.00 | Professional | RR · Rental | $51.29 | $74.13 | $100.00 |
United Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $501.19 Typical High $741.31 | Professional | UE · Used equipment | $338.84 | $501.19 | $741.31 |
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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | 50 · Both sides | $1,698.24 | $1,698.24 | $1,698.24 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 51 · Multiple procedures | $562.34 | $562.34 | $562.34 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 80 · Assistant surgeon | $223.87 | $223.87 | $223.87 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 81 · Minimal assistant surgeon | $158.49 | $158.49 | $158.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 82 · Assistant surgeon, no resident | $158.49 | $158.49 | $158.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | AS · PA/NP assist | $158.49 | $158.49 | $158.49 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | SH · Second concurrent infusion | $562.34 | $562.34 | $562.34 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | SJ · Third+ concurrent infusion | $562.34 | $562.34 | $562.34 |
Where North Carolina sits
The same service costs 14.8 times more in North Dakota 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· 37th of 51
$661
ND $1,995IL $135
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.