How much rates vary
Facilitymedian $513 · 10th to 90th $95 to $1,230Professionalmedian $724 · 10th to 90th $513 to $1,230
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,230.27 Typical High $1,445.44 | Professional | None | $851.14 | $1,230.27 | $1,445.44 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $776.25 Median $912.01 Typical High $1,000.00 | Professional | UE · Used equipment | $776.25 | $912.01 | $1,000.00 |
BCBS North Carolina Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $173.78 | Facility | None | $144.54 | $144.54 | $173.78 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | RR · Rental | $134.90 | $134.90 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Facility Modifier RR · Rental Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | RR · Rental | $51.29 | $51.29 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $512.86 Typical High $524.81 | Professional | None | $436.52 | $512.86 | $524.81 |
Cigna Setting Professional Modifier RR · Rental Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | RR · Rental | $51.29 | $51.29 | $51.29 |
Medcost Setting Professional Modifier RR · Rental Typical Low $72.44 Median $77.62 Typical High $77.62 | Professional | RR · Rental | $72.44 | $77.62 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $95.50 Median $912.01 Typical High $1,288.25 | Facility | None | $95.50 | $912.01 | $1,288.25 |
Medcost Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $933.25 | Professional | None | $891.25 | $891.25 | $933.25 |
Medcost Setting Professional Modifier RR · Rental Typical Low $89.13 Median $89.13 Typical High $93.33 | Professional | RR · Rental | $89.13 | $89.13 | $93.33 |
United Setting Professional Modifier None Typical Low $467.74 Median $691.83 Typical High $1,047.13 | Professional | None | $467.74 | $691.83 | $1,047.13 |
United Setting Professional Modifier RR · Rental Typical Low $53.70 Median $83.18 Typical High $112.20 | Professional | RR · Rental | $53.70 | $83.18 | $112.20 |
United Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $512.86 Typical High $776.25 | Professional | UE · Used equipment | $354.81 | $512.86 | $776.25 |
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | 50 · Both sides | $1,348.96 | $1,348.96 | $1,348.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 51 · Multiple procedures | $446.68 | $446.68 | $446.68 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 80 · Assistant surgeon | $181.97 | $181.97 | $181.97 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 81 · Minimal assistant surgeon | $125.89 | $125.89 | $125.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 82 · Assistant surgeon, no resident | $125.89 | $125.89 | $125.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | AS · PA/NP assist | $125.89 | $125.89 | $125.89 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | SH · Second concurrent infusion | $446.68 | $446.68 | $446.68 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | SJ · Third+ concurrent infusion | $446.68 | $446.68 | $446.68 |
Where North Carolina sits
The same service costs 12.6 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· 40th of 51
$692
ND $2,089MS $166
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.