How much rates vary
Facilitymedian $1,445 · 10th to 90th $708 to $1,820Professionalmedian $1,445 · 10th to 90th $759 to $1,862
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $1,819.70 Typical High $2,187.76 | Professional | None | $707.95 | $1,819.70 | $2,187.76 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $1,348.96 Typical High $1,659.59 | Professional | UE · Used equipment | $537.03 | $1,348.96 | $1,659.59 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,570.40 | Facility | None | $2,137.96 | $2,137.96 | $2,570.40 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | RR · Rental | $199.53 | $199.53 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $1,445.44 Typical High $1,445.44 | Facility | None | $190.55 | $1,445.44 | $1,445.44 |
Cigna Setting Facility Modifier RR · Rental Typical Low $19.05 Median $144.54 Typical High $144.54 | Facility | RR · Rental | $19.05 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $1,445.44 Typical High $1,548.82 | Professional | None | $190.55 | $1,445.44 | $1,548.82 |
Cigna Setting Professional Modifier RR · Rental Typical Low $123.03 Median $144.54 Typical High $144.54 | Professional | RR · Rental | $123.03 | $144.54 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $1,202.26 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,202.26 | $1,288.25 | $1,288.25 |
Medcost Setting Facility Modifier None Typical Low $707.95 Median $1,659.59 Typical High $1,905.46 | Facility | None | $707.95 | $1,659.59 | $1,905.46 |
Medcost Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,862.09 | Professional | None | $1,659.59 | $1,659.59 | $1,862.09 |
Medcost Setting Professional Modifier RR · Rental Typical Low $165.96 Median $165.96 Typical High $190.55 | Professional | RR · Rental | $165.96 | $165.96 | $190.55 |
United Setting Professional Modifier None Typical Low $741.31 Median $1,023.29 Typical High $1,479.11 | Professional | None | $741.31 | $1,023.29 | $1,479.11 |
United Setting Professional Modifier RR · Rental Typical Low $75.86 Median $123.03 Typical High $158.49 | Professional | RR · Rental | $75.86 | $123.03 | $158.49 |
United Setting Professional Modifier UE · Used equipment Typical Low $562.34 Median $758.58 Typical High $1,122.02 | Professional | UE · Used equipment | $562.34 | $758.58 | $1,122.02 |
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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | 50 · Both sides | $2,511.89 | $2,511.89 | $2,511.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 51 · Multiple procedures | $831.76 | $831.76 | $831.76 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 80 · Assistant surgeon | $331.13 | $331.13 | $331.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 81 · Minimal assistant surgeon | $234.42 | $234.42 | $234.42 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 82 · Assistant surgeon, no resident | $234.42 | $234.42 | $234.42 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | AS · PA/NP assist | $234.42 | $234.42 | $234.42 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | SH · Second concurrent infusion | $831.76 | $831.76 | $831.76 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | SJ · Third+ concurrent infusion | $831.76 | $831.76 | $831.76 |
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· 31st of 51
$1,445
ND $2,951MS $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.