How much rates vary
Facilitymedian $1,318 · 10th to 90th $1,230 to $2,089Professionalmedian $1,514 · 10th to 90th $955 to $4,365
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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $2,089.30 Typical High $2,511.89 | Professional | None | $812.83 | $2,089.30 | $2,511.89 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $1,584.89 Typical High $1,905.46 | Professional | UE · Used equipment | $616.60 | $1,584.89 | $1,905.46 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,951.21 | Facility | None | $2,454.71 | $2,454.71 | $2,951.21 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | RR · Rental | $229.09 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $1,047.13 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,047.13 | $1,230.27 | $1,230.27 |
Medcost Setting Professional Modifier None Typical Low $1,380.38 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,380.38 | $1,513.56 | $1,513.56 |
Medcost Setting Facility Modifier None Typical Low $812.83 Median $1,905.46 Typical High $2,238.72 | Facility | None | $812.83 | $1,905.46 | $2,238.72 |
Medcost Setting Professional Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $4,365.16 | Professional | None | $1,905.46 | $1,905.46 | $4,365.16 |
Medcost Setting Professional Modifier RR · Rental Typical Low $190.55 Median $190.55 Typical High $223.87 | Professional | RR · Rental | $190.55 | $190.55 | $223.87 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,698.24 | Professional | None | $851.14 | $1,174.90 | $1,698.24 |
United Setting Professional Modifier RR · Rental Typical Low $87.10 Median $141.25 Typical High $181.97 | Professional | RR · Rental | $87.10 | $141.25 | $181.97 |
United Setting Professional Modifier UE · Used equipment Typical Low $645.65 Median $891.25 Typical High $1,288.25 | Professional | UE · Used equipment | $645.65 | $891.25 | $1,288.25 |
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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | 50 · Both sides | $2,884.03 | $2,884.03 | $2,884.03 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 51 · Multiple procedures | $954.99 | $954.99 | $954.99 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 80 · Assistant surgeon | $389.05 | $389.05 | $389.05 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 81 · Minimal assistant surgeon | $269.15 | $269.15 | $269.15 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 82 · Assistant surgeon, no resident | $269.15 | $269.15 | $269.15 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | AS · PA/NP assist | $269.15 | $269.15 | $269.15 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | SH · Second concurrent infusion | $954.99 | $954.99 | $954.99 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | SJ · Third+ concurrent infusion | $954.99 | $954.99 | $954.99 |
Where North Carolina sits
The same service costs 10.7 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· 34th of 51
$1,479
ND $3,388MS $316
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.