How much rates vary
Facilitymedian $562 · 10th to 90th $44 to $562Professionalmedian $398 · 10th to 90th $240 to $575
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 $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $758.58 | Professional | None | $562.34 | $562.34 | $758.58 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $426.58 Median $426.58 Typical High $562.34 | Professional | UE · Used equipment | $426.58 | $426.58 | $562.34 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | RR · Rental | $61.66 | $61.66 | $61.66 |
Cigna Setting Facility Modifier RR · Rental Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | RR · Rental | $53.70 | $53.70 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $691.83 Typical High $1,348.96 | Professional | None | $64.57 | $691.83 | $1,348.96 |
Cigna Setting Professional Modifier RR · Rental Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | RR · Rental | $53.70 | $53.70 | $53.70 |
Medcost Setting Professional Modifier RR · Rental Typical Low $39.81 Median $43.65 Typical High $43.65 | Professional | RR · Rental | $39.81 | $43.65 | $43.65 |
Medcost Setting Facility Modifier None Typical Low $43.65 Median $478.63 Typical High $602.56 | Facility | None | $43.65 | $478.63 | $602.56 |
Medcost Setting Professional Modifier None Typical Low $61.66 Median $478.63 Typical High $478.63 | Professional | None | $61.66 | $478.63 | $478.63 |
Medcost Setting Professional Modifier RR · Rental Typical Low $52.48 Median $52.48 Typical High $60.26 | Professional | RR · Rental | $52.48 | $52.48 | $60.26 |
United Setting Professional Modifier None Typical Low $245.47 Median $354.81 Typical High $537.03 | Professional | None | $245.47 | $354.81 | $537.03 |
United Setting Professional Modifier RR · Rental Typical Low $27.54 Median $38.02 Typical High $57.54 | Professional | RR · Rental | $27.54 | $38.02 | $57.54 |
United Setting Professional Modifier UE · Used equipment Typical Low $181.97 Median $269.15 Typical High $407.38 | Professional | UE · Used equipment | $181.97 | $269.15 | $407.38 |
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 $91.20 Median $724.44 Typical High $724.44 | Professional | 50 · Both sides | $91.20 | $724.44 | $724.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $30.20 Median $239.88 Typical High $239.88 | Professional | 51 · Multiple procedures | $30.20 | $239.88 | $239.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.30 Median $95.50 Typical High $95.50 | Professional | 80 · Assistant surgeon | $12.30 | $95.50 | $95.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.51 Median $67.61 Typical High $67.61 | Professional | 81 · Minimal assistant surgeon | $8.51 | $67.61 | $67.61 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.51 Median $67.61 Typical High $67.61 | Professional | 82 · Assistant surgeon, no resident | $8.51 | $67.61 | $67.61 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.51 Median $67.61 Typical High $67.61 | Professional | AS · PA/NP assist | $8.51 | $67.61 | $67.61 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $30.20 Median $239.88 Typical High $239.88 | Professional | SH · Second concurrent infusion | $30.20 | $239.88 | $239.88 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $30.20 Median $239.88 Typical High $239.88 | Professional | SJ · Third+ concurrent infusion | $30.20 | $239.88 | $239.88 |
Where North Carolina sits
The same service costs 11.7 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· 40th of 51
$447
ND $1,072MS $91.20
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.