How much rates vary
Facilitymedian $363 · 10th to 90th $363 to $631Professionalmedian $525 · 10th to 90th $363 to $724
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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $630.96 Typical High $691.83 | Professional | None | $478.63 | $630.96 | $691.83 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $457.09 Typical High $467.74 | Professional | UE · Used equipment | $457.09 | $457.09 | $467.74 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | RR · Rental | $52.48 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Facility Modifier RR · Rental Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | RR · Rental | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $389.05 | Professional | None | $363.08 | $363.08 | $389.05 |
Cigna Setting Professional Modifier RR · Rental Typical Low $31.62 Median $36.31 Typical High $36.31 | Professional | RR · Rental | $31.62 | $36.31 | $36.31 |
Medcost Setting Facility Modifier None Typical Low $346.74 Median $630.96 Typical High $707.95 | Facility | None | $346.74 | $630.96 | $707.95 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $758.58 | Professional | None | $707.95 | $707.95 | $758.58 |
Medcost Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | RR · Rental | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $371.54 Median $489.78 Typical High $741.31 | Professional | None | $371.54 | $489.78 | $741.31 |
United Setting Professional Modifier RR · Rental Typical Low $33.88 Median $44.67 Typical High $67.61 | Professional | RR · Rental | $33.88 | $44.67 | $67.61 |
United Setting Professional Modifier UE · Used equipment Typical Low $275.42 Median $354.81 Typical High $537.03 | Professional | UE · Used equipment | $275.42 | $354.81 | $537.03 |
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 50 · Both sides | $1,047.13 | $1,047.13 | $1,047.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 51 · Multiple procedures | $346.74 | $346.74 | $346.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 80 · Assistant surgeon | $141.25 | $141.25 | $141.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 81 · Minimal assistant surgeon | $97.72 | $97.72 | $97.72 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 82 · Assistant surgeon, no resident | $97.72 | $97.72 | $97.72 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | AS · PA/NP assist | $97.72 | $97.72 | $97.72 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | SH · Second concurrent infusion | $346.74 | $346.74 | $346.74 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | SJ · Third+ concurrent infusion | $346.74 | $346.74 | $346.74 |
Where North Carolina sits
The same service costs 17.0 times more in North Dakota than in Wyoming. 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· 43rd of 51
$490
ND $1,622WY $95.50
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.