How much rates vary
Facilitymedian $355 · 10th to 90th $309 to $417Professionalmedian $331 · 10th to 90th $219 to $468
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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $363.08 Typical High $407.38 | Professional | None | $208.93 | $363.08 | $407.38 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $154.88 Median $269.15 Typical High $288.40 | Professional | UE · Used equipment | $154.88 | $269.15 | $288.40 |
Ambetter Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
BCBS North Carolina Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $645.65 | Facility | None | $537.03 | $537.03 | $645.65 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | RR · Rental | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $416.87 | Facility | None | $309.03 | $309.03 | $416.87 |
Cigna Setting Facility Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $41.69 | Facility | RR · Rental | $30.90 | $30.90 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $416.87 | Professional | None | $309.03 | $309.03 | $416.87 |
Cigna Setting Professional Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $40.74 | Professional | RR · Rental | $30.90 | $30.90 | $40.74 |
Medcost Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $380.19 | Professional | None | $354.81 | $380.19 | $380.19 |
Medcost Setting Facility Modifier None Typical Low $208.93 Median $363.08 Typical High $436.52 | Facility | None | $208.93 | $363.08 | $436.52 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $426.58 Typical High $467.74 | Professional | None | $416.87 | $426.58 | $467.74 |
Medcost Setting Professional Modifier RR · Rental Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | RR · Rental | $42.66 | $42.66 | $42.66 |
United Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $389.05 | Professional | None | $199.53 | $275.42 | $389.05 |
United Setting Professional Modifier RR · Rental Typical Low $19.95 Median $27.54 Typical High $39.81 | Professional | RR · Rental | $19.95 | $27.54 | $39.81 |
United Setting Professional Modifier UE · Used equipment Typical Low $147.91 Median $204.17 Typical High $288.40 | Professional | UE · Used equipment | $147.91 | $204.17 | $288.40 |
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 $630.96 Median $645.65 Typical High $645.65 | Professional | 50 · Both sides | $630.96 | $645.65 | $645.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $208.93 Median $213.80 Typical High $213.80 | Professional | 51 · Multiple procedures | $208.93 | $213.80 | $213.80 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $83.18 Median $85.11 Typical High $85.11 | Professional | 80 · Assistant surgeon | $83.18 | $85.11 | $85.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $58.88 Median $60.26 Typical High $60.26 | Professional | 81 · Minimal assistant surgeon | $58.88 | $60.26 | $60.26 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $58.88 Median $60.26 Typical High $60.26 | Professional | 82 · Assistant surgeon, no resident | $58.88 | $60.26 | $60.26 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $58.88 Median $60.26 Typical High $60.26 | Professional | AS · PA/NP assist | $58.88 | $60.26 | $60.26 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $208.93 Median $213.80 Typical High $213.80 | Professional | SH · Second concurrent infusion | $208.93 | $213.80 | $213.80 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $208.93 Median $213.80 Typical High $213.80 | Professional | SJ · Third+ concurrent infusion | $208.93 | $213.80 | $213.80 |
Where North Carolina sits
The same service costs 18.2 times more in Hawaii than in Illinois. 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· 30th of 51
$347
HI $813IL $44.67
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.