How much rates vary
Facilitymedian $871 · 10th to 90th $68 to $1,000Professionalmedian $871 · 10th to 90th $417 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 $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $645.65 Median $870.96 Typical High $1,174.90 | Professional | None | $645.65 | $870.96 | $1,174.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $645.65 Median $645.65 Typical High $891.25 | Professional | UE · Used equipment | $645.65 | $645.65 | $891.25 |
BCBS North Carolina Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $123.03 | Facility | None | $102.33 | $102.33 | $123.03 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | RR · Rental | $93.33 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
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 $851.14 Median $1,000.00 Typical High $1,000.00 | Professional | None | $851.14 | $1,000.00 | $1,000.00 |
Cigna Setting Professional Modifier RR · Rental Typical Low $87.10 Median $100.00 Typical High $100.00 | Professional | RR · Rental | $87.10 | $100.00 | $100.00 |
Medcost Setting Professional Modifier RR · Rental Typical Low $60.26 Median $66.07 Typical High $66.07 | Professional | RR · Rental | $60.26 | $66.07 | $66.07 |
Medcost Setting Facility Modifier None Typical Low $67.61 Median $870.96 Typical High $912.01 | Facility | None | $67.61 | $870.96 | $912.01 |
Medcost Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Medcost Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $91.20 | Professional | RR · Rental | $79.43 | $79.43 | $91.20 |
United Setting Professional Modifier None Typical Low $371.54 Median $549.54 Typical High $831.76 | Professional | None | $371.54 | $549.54 | $831.76 |
United Setting Professional Modifier RR · Rental Typical Low $42.66 Median $58.88 Typical High $89.13 | Professional | RR · Rental | $42.66 | $58.88 | $89.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $281.84 Median $407.38 Typical High $616.60 | Professional | UE · Used equipment | $281.84 | $407.38 | $616.60 |
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 15.8 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· 17th of 51
$871
KS $2,042MS $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.