How much rates vary
Facilitymedian $1,514 · 10th to 90th $1,445 to $2,291Professionalmedian $1,660 · 10th to 90th $1,023 to $2,344
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 $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $2,290.87 Typical High $2,884.03 | Professional | None | $912.01 | $2,290.87 | $2,884.03 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $1,737.80 Typical High $2,089.30 | Professional | UE · Used equipment | $676.08 | $1,737.80 | $2,089.30 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | RR · Rental | $251.19 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,479.11 | Facility | None | $1,445.44 | $1,445.44 | $1,479.11 |
Cigna Setting Facility Modifier RR · Rental Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | RR · Rental | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $1,479.11 | Professional | None | $1,230.27 | $1,445.44 | $1,479.11 |
Cigna Setting Professional Modifier RR · Rental Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | RR · Rental | $144.54 | $144.54 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $1,548.82 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,548.82 | $1,659.59 | $1,659.59 |
Medcost Setting Facility Modifier None Typical Low $912.01 Median $2,137.96 Typical High $2,454.71 | Facility | None | $912.01 | $2,137.96 | $2,454.71 |
Medcost Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,344.23 | Professional | None | $2,137.96 | $2,137.96 | $2,344.23 |
Medcost Setting Professional Modifier RR · Rental Typical Low $213.80 Median $213.80 Typical High $245.47 | Professional | RR · Rental | $213.80 | $213.80 | $245.47 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,288.25 Typical High $1,905.46 | Professional | None | $954.99 | $1,288.25 | $1,905.46 |
United Setting Professional Modifier RR · Rental Typical Low $97.72 Median $158.49 Typical High $199.53 | Professional | RR · Rental | $97.72 | $158.49 | $199.53 |
United Setting Professional Modifier UE · Used equipment Typical Low $707.95 Median $977.24 Typical High $1,412.54 | Professional | UE · Used equipment | $707.95 | $977.24 | $1,412.54 |
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 $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | 50 · Both sides | $3,162.28 | $3,162.28 | $3,162.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 51 · Multiple procedures | $1,071.52 | $1,071.52 | $1,071.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 80 · Assistant surgeon | $426.58 | $426.58 | $426.58 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 81 · Minimal assistant surgeon | $295.12 | $295.12 | $295.12 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 82 · Assistant surgeon, no resident | $295.12 | $295.12 | $295.12 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | AS · PA/NP assist | $295.12 | $295.12 | $295.12 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | SH · Second concurrent infusion | $1,071.52 | $1,071.52 | $1,071.52 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | SJ · Third+ concurrent infusion | $1,071.52 | $1,071.52 | $1,071.52 |
Where North Carolina sits
The same service costs 11.0 times more in North Dakota 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· 36th of 51
$1,622
ND $3,802MS $347
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.