How much rates vary
Facilitymedian $1,230 · 10th to 90th $95 to $1,230Professionalmedian $832 · 10th to 90th $490 to $1,230
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,230.27 Typical High $1,513.56 | Professional | None | $1,071.52 | $1,230.27 | $1,513.56 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $912.01 Median $912.01 Typical High $1,122.02 | Professional | UE · Used equipment | $912.01 | $912.01 | $1,122.02 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | RR · Rental | $134.90 | $134.90 | $134.90 |
Cigna Setting Facility Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | RR · Rental | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $1,288.25 Typical High $2,570.40 | Professional | None | $125.89 | $1,288.25 | $2,570.40 |
Cigna Setting Professional Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | RR · Rental | $100.00 | $100.00 | $100.00 |
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 $95.50 Median $1,000.00 Typical High $1,230.27 | Facility | None | $95.50 | $1,000.00 | $1,230.27 |
Medcost Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Medcost Setting Professional Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $128.82 | Professional | RR · Rental | $100.00 | $100.00 | $128.82 |
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 $52.48 Median $83.18 Typical High $107.15 | Professional | RR · Rental | $52.48 | $83.18 | $107.15 |
United Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $501.19 Typical High $758.58 | Professional | UE · Used equipment | $338.84 | $501.19 | $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 $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | 50 · Both sides | $1,513.56 | $1,513.56 | $1,513.56 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 51 · Multiple procedures | $501.19 | $501.19 | $501.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 80 · Assistant surgeon | $199.53 | $199.53 | $199.53 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 81 · Minimal assistant surgeon | $141.25 | $141.25 | $141.25 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 82 · Assistant surgeon, no resident | $141.25 | $141.25 | $141.25 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | AS · PA/NP assist | $141.25 | $141.25 | $141.25 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | SH · Second concurrent infusion | $501.19 | $501.19 | $501.19 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | SJ · Third+ concurrent infusion | $501.19 | $501.19 | $501.19 |
Where North Carolina sits
The same service costs 16.6 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· 28th of 51
$871
KS $2,399MS $145
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.