How much rates vary
Facilitymedian $977 · 10th to 90th $76 to $977Professionalmedian $776 · 10th to 90th $457 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 $977.24 Median $977.24 Typical High $977.24 | Facility | None | $977.24 | $977.24 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,380.38 | Professional | None | $977.24 | $977.24 | $1,380.38 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $724.44 Median $724.44 Typical High $1,047.13 | Professional | UE · Used equipment | $724.44 | $724.44 | $1,047.13 |
BCBS North Carolina Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $138.04 | Facility | None | $114.82 | $114.82 | $138.04 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | RR · Rental | $107.15 | $107.15 | $107.15 |
Cigna Setting Facility Modifier RR · Rental Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | RR · Rental | $93.33 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $1,174.90 Typical High $2,398.83 | Professional | None | $114.82 | $1,174.90 | $2,398.83 |
Cigna 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 |
Medcost Setting Professional Modifier RR · Rental Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | RR · Rental | $66.07 | $70.79 | $70.79 |
Medcost Setting Facility Modifier None Typical Low $75.86 Median $794.33 Typical High $1,023.29 | Facility | None | $75.86 | $794.33 | $1,023.29 |
Medcost Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $831.76 | Professional | None | $794.33 | $794.33 | $831.76 |
Medcost Setting Professional Modifier RR · Rental Typical Low $81.28 Median $81.28 Typical High $87.10 | Professional | RR · Rental | $81.28 | $81.28 | $87.10 |
United Setting Professional Modifier None Typical Low $416.87 Median $616.60 Typical High $933.25 | Professional | None | $416.87 | $616.60 | $933.25 |
United Setting Professional Modifier RR · Rental Typical Low $47.86 Median $66.07 Typical High $100.00 | Professional | RR · Rental | $47.86 | $66.07 | $100.00 |
United Setting Professional Modifier UE · Used equipment Typical Low $316.23 Median $457.09 Typical High $691.83 | Professional | UE · Used equipment | $316.23 | $457.09 | $691.83 |
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 50 · Both sides | $1,202.26 | $1,202.26 | $1,202.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 51 · Multiple procedures | $398.11 | $398.11 | $398.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 80 · Assistant surgeon | $158.49 | $158.49 | $158.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 81 · Minimal assistant surgeon | $112.20 | $112.20 | $112.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 82 · Assistant surgeon, no resident | $112.20 | $112.20 | $112.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | AS · PA/NP assist | $112.20 | $112.20 | $112.20 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | SH · Second concurrent infusion | $398.11 | $398.11 | $398.11 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | SJ · Third+ concurrent infusion | $398.11 | $398.11 | $398.11 |
Where North Carolina sits
The same service costs 13.8 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· 39th of 51
$794
ND $1,862MS $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.