How much rates vary
Facilitymedian $1,148 · 10th to 90th $631 to $1,622Professionalmedian $1,148 · 10th to 90th $676 to $1,622
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 $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $1,621.81 Typical High $1,949.84 | Professional | None | $630.96 | $1,621.81 | $1,949.84 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $467.74 Median $1,202.26 Typical High $1,445.44 | Professional | UE · Used equipment | $467.74 | $1,202.26 | $1,445.44 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | RR · Rental | $173.78 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $1,071.52 Typical High $1,071.52 | Facility | None | $173.78 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier RR · Rental Typical Low $17.38 Median $107.15 Typical High $107.15 | Facility | RR · Rental | $17.38 | $107.15 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $1,071.52 Typical High $1,071.52 | Professional | None | $173.78 | $1,071.52 | $1,071.52 |
Cigna Setting Professional Modifier RR · Rental Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | RR · Rental | $91.20 | $107.15 | $107.15 |
Medcost Setting Professional Modifier None Typical Low $1,071.52 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,071.52 | $1,148.15 | $1,148.15 |
Medcost Setting Facility Modifier None Typical Low $630.96 Median $1,479.11 Typical High $1,698.24 | Facility | None | $630.96 | $1,479.11 | $1,698.24 |
Medcost Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,621.81 | Professional | None | $1,479.11 | $1,479.11 | $1,621.81 |
Medcost Setting Professional Modifier RR · Rental Typical Low $147.91 Median $147.91 Typical High $169.82 | Professional | RR · Rental | $147.91 | $147.91 | $169.82 |
United Setting Professional Modifier None Typical Low $660.69 Median $891.25 Typical High $1,318.26 | Professional | None | $660.69 | $891.25 | $1,318.26 |
United Setting Professional Modifier RR · Rental Typical Low $67.61 Median $109.65 Typical High $138.04 | Professional | RR · Rental | $67.61 | $109.65 | $138.04 |
United Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $676.08 Typical High $977.24 | Professional | UE · Used equipment | $489.78 | $676.08 | $977.24 |
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 $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | 50 · Both sides | $2,187.76 | $2,187.76 | $2,187.76 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 51 · Multiple procedures | $741.31 | $741.31 | $741.31 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 80 · Assistant surgeon | $295.12 | $295.12 | $295.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 81 · Minimal assistant surgeon | $204.17 | $204.17 | $204.17 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 82 · Assistant surgeon, no resident | $204.17 | $204.17 | $204.17 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | AS · PA/NP assist | $204.17 | $204.17 | $204.17 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | SH · Second concurrent infusion | $741.31 | $741.31 | $741.31 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | SJ · Third+ concurrent infusion | $741.31 | $741.31 | $741.31 |
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· 35th of 51
$1,148
ND $2,630IL $204
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.