How much rates vary
Facilitymedian $832 · 10th to 90th $65 to $832Professionalmedian $708 · 10th to 90th $398 to $832
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 $831.76 Median $831.76 Typical High $1,122.02 | Professional | None | $831.76 | $831.76 | $1,122.02 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $616.60 Typical High $831.76 | Professional | UE · Used equipment | $616.60 | $616.60 | $831.76 |
BCBS North Carolina 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 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | RR · Rental | $83.18 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $831.76 Typical High $831.76 | Professional | None | $707.95 | $831.76 | $831.76 |
Cigna Setting Professional Modifier RR · Rental Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | RR · Rental | $83.18 | $83.18 | $83.18 |
Medcost Setting Professional Modifier RR · Rental Typical Low $63.10 Median $69.18 Typical High $69.18 | Professional | RR · Rental | $63.10 | $69.18 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $707.95 Typical High $870.96 | Facility | None | $64.57 | $707.95 | $870.96 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Medcost Setting Professional Modifier RR · Rental Typical Low $64.57 Median $64.57 Typical High $87.10 | Professional | RR · Rental | $64.57 | $64.57 | $87.10 |
United Setting Professional Modifier None Typical Low $354.81 Median $512.86 Typical High $776.25 | Professional | None | $354.81 | $512.86 | $776.25 |
United Setting Professional Modifier RR · Rental Typical Low $39.81 Median $56.23 Typical High $77.62 | Professional | RR · Rental | $39.81 | $56.23 | $77.62 |
United Setting Professional Modifier UE · Used equipment Typical Low $263.03 Median $389.05 Typical High $588.84 | Professional | UE · Used equipment | $263.03 | $389.05 | $588.84 |
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 50 · Both sides | $1,047.13 | $1,047.13 | $1,047.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 51 · Multiple procedures | $346.74 | $346.74 | $346.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 80 · Assistant surgeon | $141.25 | $141.25 | $141.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 81 · Minimal assistant surgeon | $97.72 | $97.72 | $97.72 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 82 · Assistant surgeon, no resident | $97.72 | $97.72 | $97.72 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | AS · PA/NP assist | $97.72 | $97.72 | $97.72 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | SH · Second concurrent infusion | $346.74 | $346.74 | $346.74 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | SJ · Third+ concurrent infusion | $346.74 | $346.74 | $346.74 |
Where North Carolina sits
The same service costs 11.2 times more in Minnesota 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· 38th of 51
$708
MN $1,380MS $123
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.