How much rates vary
Facilitymedian $741 · 10th to 90th $58 to $759Professionalmedian $603 · 10th to 90th $363 to $759
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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $741.31 Typical High $1,023.29 | Professional | None | $588.84 | $741.31 | $1,023.29 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $562.34 Median $562.34 Typical High $758.58 | Professional | UE · Used equipment | $562.34 | $562.34 | $758.58 |
BCBS North Carolina Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $104.71 | Facility | None | $87.10 | $87.10 | $104.71 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | RR · Rental | $81.28 | $81.28 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier RR · Rental Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | RR · Rental | $75.86 | $75.86 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $758.58 Typical High $758.58 | Professional | None | $645.65 | $758.58 | $758.58 |
Cigna 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 |
Medcost Setting Professional Modifier RR · Rental Typical Low $48.98 Median $53.70 Typical High $53.70 | Professional | RR · Rental | $48.98 | $53.70 | $53.70 |
Medcost Setting Facility Modifier None Typical Low $57.54 Median $630.96 Typical High $794.33 | Facility | None | $57.54 | $630.96 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Medcost Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $79.43 | Professional | RR · Rental | $60.26 | $60.26 | $79.43 |
United Setting Professional Modifier None Typical Low $323.59 Median $467.74 Typical High $707.95 | Professional | None | $323.59 | $467.74 | $707.95 |
United Setting Professional Modifier RR · Rental Typical Low $36.31 Median $50.12 Typical High $75.86 | Professional | RR · Rental | $36.31 | $50.12 | $75.86 |
United Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $354.81 Typical High $537.03 | Professional | UE · Used equipment | $239.88 | $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 $912.01 Median $912.01 Typical High $912.01 | Professional | 50 · Both sides | $912.01 | $912.01 | $912.01 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 51 · Multiple procedures | $302.00 | $302.00 | $302.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 80 · Assistant surgeon | $120.23 | $120.23 | $120.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 81 · Minimal assistant surgeon | $85.11 | $85.11 | $85.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 82 · Assistant surgeon, no resident | $85.11 | $85.11 | $85.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | AS · PA/NP assist | $85.11 | $85.11 | $85.11 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | SH · Second concurrent infusion | $302.00 | $302.00 | $302.00 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | SJ · Third+ concurrent infusion | $302.00 | $302.00 | $302.00 |
Where North Carolina sits
The same service costs 12.6 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· 43rd of 51
$603
ND $1,413MS $112
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.