How much rates vary
Facilitymedian $209 · 10th to 90th $200 to $603Professionalmedian $468 · 10th to 90th $200 to $759
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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $602.56 Typical High $616.60 | Professional | None | $371.54 | $602.56 | $616.60 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $467.74 Typical High $478.63 | Professional | UE · Used equipment | $457.09 | $467.74 | $478.63 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | RR · Rental | $53.70 | $53.70 | $53.70 |
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 $177.83 Median $199.53 Typical High $199.53 | Professional | None | $177.83 | $199.53 | $199.53 |
Cigna Setting Professional Modifier RR · Rental Typical Low $17.78 Median $19.95 Typical High $19.95 | Professional | RR · Rental | $17.78 | $19.95 | $19.95 |
Medcost Setting Facility Modifier None Typical Low $331.13 Median $602.56 Typical High $707.95 | Facility | None | $331.13 | $602.56 | $707.95 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Medcost Setting Professional Modifier RR · Rental Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | RR · Rental | $64.57 | $64.57 | $64.57 |
United Setting Professional Modifier None Typical Low $354.81 Median $467.74 Typical High $707.95 | Professional | None | $354.81 | $467.74 | $707.95 |
United Setting Professional Modifier RR · Rental Typical Low $35.48 Median $46.77 Typical High $70.79 | Professional | RR · Rental | $35.48 | $46.77 | $70.79 |
United Setting Professional Modifier UE · Used equipment Typical Low $281.84 Median $363.08 Typical High $562.34 | Professional | UE · Used equipment | $281.84 | $363.08 | $562.34 |
9 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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier NR · New when rented Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | NR · New when rented | $158.49 | $158.49 | $158.49 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | 50 · Both sides | $1,122.02 | $1,122.02 | $1,122.02 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 51 · Multiple procedures | $371.54 | $371.54 | $371.54 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 80 · Assistant surgeon | $151.36 | $151.36 | $151.36 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 81 · Minimal assistant surgeon | $104.71 | $104.71 | $104.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 82 · Assistant surgeon, no resident | $104.71 | $104.71 | $104.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | AS · PA/NP assist | $104.71 | $104.71 | $104.71 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | SH · Second concurrent infusion | $371.54 | $371.54 | $371.54 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | SJ · Third+ concurrent infusion | $371.54 | $371.54 | $371.54 |
Where North Carolina sits
The same service costs 16.6 times more in North Dakota than in Wyoming. 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· 42nd of 51
$468
ND $1,698WY $102
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.