How much rates vary
Facilitymedian $200 · 10th to 90th $69 to $891Professionalmedian $562 · 10th to 90th $200 to $891
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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $891.25 Typical High $1,174.90 | Professional | None | $588.84 | $891.25 | $1,174.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $660.69 Typical High $870.96 | Professional | UE · Used equipment | $660.69 | $660.69 | $870.96 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | RR · Rental | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Facility Modifier RR · Rental Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | RR · Rental | $19.95 | $19.95 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $199.53 Typical High $199.53 | Professional | None | $97.72 | $199.53 | $199.53 |
Cigna Setting Professional Modifier RR · Rental Typical Low $16.98 Median $19.95 Typical High $19.95 | Professional | RR · Rental | $16.98 | $19.95 | $19.95 |
Medcost Setting Professional Modifier RR · Rental Typical Low $57.54 Median $61.66 Typical High $61.66 | Professional | RR · Rental | $57.54 | $61.66 | $61.66 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $794.33 Typical High $933.25 | Facility | None | $69.18 | $794.33 | $933.25 |
Medcost Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None | $794.33 | $794.33 | $794.33 |
Medcost Setting Professional Modifier RR · Rental Typical Low $70.79 Median $70.79 Typical High $72.44 | Professional | RR · Rental | $70.79 | $70.79 | $72.44 |
United Setting Professional Modifier None Typical Low $371.54 Median $537.03 Typical High $812.83 | Professional | None | $371.54 | $537.03 | $812.83 |
United Setting Professional Modifier RR · Rental Typical Low $42.66 Median $60.26 Typical High $83.18 | Professional | RR · Rental | $42.66 | $60.26 | $83.18 |
United Setting Professional Modifier UE · Used equipment Typical Low $275.42 Median $407.38 Typical High $616.60 | Professional | UE · Used equipment | $275.42 | $407.38 | $616.60 |
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 $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 50 · Both sides | $1,202.26 | $1,202.26 | $1,202.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | 51 · Multiple procedures | $398.11 | $398.11 | $398.11 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 80 · Assistant surgeon | $158.49 | $158.49 | $158.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 81 · Minimal assistant surgeon | $112.20 | $112.20 | $112.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 82 · Assistant surgeon, no resident | $112.20 | $112.20 | $112.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | AS · PA/NP assist | $112.20 | $112.20 | $112.20 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | SH · Second concurrent infusion | $398.11 | $398.11 | $398.11 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | SJ · Third+ concurrent infusion | $398.11 | $398.11 | $398.11 |
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· 40th of 51
$537
ND $1,413IL $110
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.