How much rates vary
Facilitymedian $1,514 · 10th to 90th $1,413 to $2,188Professionalmedian $1,445 · 10th to 90th $1,047 to $2,188
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 $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,691.53 | Professional | None | $2,187.76 | $2,187.76 | $2,691.53 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,621.81 Median $1,621.81 Typical High $2,041.74 | Professional | UE · Used equipment | $1,621.81 | $1,621.81 | $2,041.74 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,090.30 | Facility | None | $2,570.40 | $2,570.40 | $3,090.30 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | RR · Rental | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,202.26 | $1,412.54 | $1,412.54 |
Medcost Setting Professional Modifier None Typical Low $1,445.44 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,445.44 | $1,548.82 | $1,548.82 |
Medcost Setting Facility Modifier None Typical Low $851.14 Median $1,995.26 Typical High $2,290.87 | Facility | None | $851.14 | $1,995.26 | $2,290.87 |
Medcost Setting Professional Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,995.26 | $1,995.26 | $1,995.26 |
Medcost Setting Professional Modifier RR · Rental Typical Low $199.53 Median $199.53 Typical High $229.09 | Professional | RR · Rental | $199.53 | $199.53 | $229.09 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,230.27 Typical High $1,778.28 | Professional | None | $891.25 | $1,230.27 | $1,778.28 |
United Setting Professional Modifier RR · Rental Typical Low $91.20 Median $147.91 Typical High $186.21 | Professional | RR · Rental | $91.20 | $147.91 | $186.21 |
United Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $912.01 Typical High $1,318.26 | Professional | UE · Used equipment | $660.69 | $912.01 | $1,318.26 |
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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | 50 · Both sides | $3,019.95 | $3,019.95 | $3,019.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | 51 · Multiple procedures | $1,000.00 | $1,000.00 | $1,000.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 80 · Assistant surgeon | $398.11 | $398.11 | $398.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 81 · Minimal assistant surgeon | $281.84 | $281.84 | $281.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 82 · Assistant surgeon, no resident | $281.84 | $281.84 | $281.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | AS · PA/NP assist | $281.84 | $281.84 | $281.84 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | SH · Second concurrent infusion | $1,000.00 | $1,000.00 | $1,000.00 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | SJ · Third+ concurrent infusion | $1,000.00 | $1,000.00 | $1,000.00 |
Where North Carolina sits
The same service costs 12.9 times more in North Dakota 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· 39th of 51
$1,445
ND $3,548IL $275
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.