How much rates vary
Facilitymedian $398 · 10th to 90th $31 to $407Professionalmedian $339 · 10th to 90th $174 to $407
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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $575.44 | Professional | None | $398.11 | $398.11 | $575.44 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $436.52 | Professional | UE · Used equipment | $295.12 | $295.12 | $436.52 |
BCBS North Carolina Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $56.23 | Facility | None | $46.77 | $46.77 | $56.23 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | RR · Rental | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier RR · Rental Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | RR · Rental | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $407.38 | Professional | None | $346.74 | $407.38 | $407.38 |
Cigna Setting Professional Modifier RR · Rental Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | RR · Rental | $40.74 | $40.74 | $40.74 |
Medcost Setting Professional Modifier RR · Rental Typical Low $26.30 Median $28.18 Typical High $28.18 | Professional | RR · Rental | $26.30 | $28.18 | $28.18 |
Medcost Setting Facility Modifier None Typical Low $30.90 Median $346.74 Typical High $416.87 | Facility | None | $30.90 | $346.74 | $416.87 |
Medcost Setting Professional Modifier None Typical Low $42.66 Median $338.84 Typical High $338.84 | Professional | None | $42.66 | $338.84 | $338.84 |
Medcost Setting Professional Modifier RR · Rental Typical Low $36.31 Median $36.31 Typical High $41.69 | Professional | RR · Rental | $36.31 | $36.31 | $41.69 |
United Setting Professional Modifier None Typical Low $169.82 Median $251.19 Typical High $380.19 | Professional | None | $169.82 | $251.19 | $380.19 |
United Setting Professional Modifier RR · Rental Typical Low $19.50 Median $26.92 Typical High $40.74 | Professional | RR · Rental | $19.50 | $26.92 | $40.74 |
United Setting Professional Modifier UE · Used equipment Typical Low $128.82 Median $186.21 Typical High $281.84 | Professional | UE · Used equipment | $128.82 | $186.21 | $281.84 |
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 $64.57 Median $512.86 Typical High $512.86 | Professional | 50 · Both sides | $64.57 | $512.86 | $512.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $21.38 Median $169.82 Typical High $169.82 | Professional | 51 · Multiple procedures | $21.38 | $169.82 | $169.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.51 Median $67.61 Typical High $67.61 | Professional | 80 · Assistant surgeon | $8.51 | $67.61 | $67.61 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.03 Median $47.86 Typical High $47.86 | Professional | 81 · Minimal assistant surgeon | $6.03 | $47.86 | $47.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.03 Median $47.86 Typical High $47.86 | Professional | 82 · Assistant surgeon, no resident | $6.03 | $47.86 | $47.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.03 Median $47.86 Typical High $47.86 | Professional | AS · PA/NP assist | $6.03 | $47.86 | $47.86 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $21.38 Median $169.82 Typical High $169.82 | Professional | SH · Second concurrent infusion | $21.38 | $169.82 | $169.82 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $21.38 Median $169.82 Typical High $169.82 | Professional | SJ · Third+ concurrent infusion | $21.38 | $169.82 | $169.82 |
Where North Carolina sits
The same service costs 11.2 times more in North Dakota than in Rhode Island. 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· 41st of 51
$339
ND $759RI $67.61
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.