How much rates vary
Facilitymedian $832 · 10th to 90th $457 to $912Professionalmedian $813 · 10th to 90th $501 to $1,000
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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $831.76 Typical High $831.76 | Professional | None | $223.87 | $831.76 | $831.76 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $630.96 Typical High $630.96 | Professional | UE · Used equipment | $537.03 | $630.96 | $630.96 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | RR · Rental | $75.86 | $75.86 | $75.86 |
Cigna Setting Facility Modifier RR · Rental Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | RR · Rental | $19.95 | $19.95 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $933.25 Typical High $1,548.82 | Professional | None | $331.13 | $933.25 | $1,548.82 |
Cigna Setting Professional Modifier RR · Rental Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | RR · Rental | $19.95 | $19.95 | $19.95 |
Medcost Setting Facility Modifier None Typical Low $457.09 Median $831.76 Typical High $912.01 | Facility | None | $457.09 | $831.76 | $912.01 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $933.25 | Professional | None | $912.01 | $912.01 | $933.25 |
Medcost Setting Professional Modifier RR · Rental Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | RR · Rental | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $501.19 Median $645.65 Typical High $1,000.00 | Professional | None | $501.19 | $645.65 | $1,000.00 |
United Setting Professional Modifier RR · Rental Typical Low $50.12 Median $64.57 Typical High $100.00 | Professional | RR · Rental | $50.12 | $64.57 | $100.00 |
United Setting Professional Modifier UE · Used equipment Typical Low $371.54 Median $489.78 Typical High $741.31 | Professional | UE · Used equipment | $371.54 | $489.78 | $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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | 50 · Both sides | $1,348.96 | $1,348.96 | $1,348.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 51 · Multiple procedures | $446.68 | $446.68 | $446.68 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 80 · Assistant surgeon | $181.97 | $181.97 | $181.97 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 81 · Minimal assistant surgeon | $125.89 | $125.89 | $125.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 82 · Assistant surgeon, no resident | $125.89 | $125.89 | $125.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | AS · PA/NP assist | $125.89 | $125.89 | $125.89 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | SH · Second concurrent infusion | $446.68 | $446.68 | $446.68 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | SJ · Third+ concurrent infusion | $446.68 | $446.68 | $446.68 |
Where North Carolina sits
The same service costs 20.0 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· 29th of 51
$832
ND $2,692WY $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.