How much rates vary
Facilitymedian $1,047 · 10th to 90th $85 to $1,072Professionalmedian $912 · 10th to 90th $490 to $1,072
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,071.52 Typical High $1,148.15 | Professional | None | $912.01 | $1,071.52 | $1,148.15 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $812.83 Median $812.83 Typical High $851.14 | Professional | UE · Used equipment | $812.83 | $812.83 | $851.14 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | RR · Rental | $117.49 | $117.49 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Facility Modifier RR · Rental Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | RR · Rental | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $1,047.13 Typical High $1,047.13 | Professional | None | $891.25 | $1,047.13 | $1,047.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | RR · Rental | $104.71 | $104.71 | $104.71 |
Medcost Setting Professional Modifier RR · Rental Typical Low $67.61 Median $72.44 Typical High $72.44 | Professional | RR · Rental | $67.61 | $72.44 | $72.44 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $912.01 Typical High $1,148.15 | Facility | None | $85.11 | $912.01 | $1,148.15 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Medcost Setting Professional Modifier RR · Rental Typical Low $89.13 Median $89.13 Typical High $114.82 | Professional | RR · Rental | $89.13 | $89.13 | $114.82 |
United Setting Professional Modifier None Typical Low $436.52 Median $630.96 Typical High $954.99 | Professional | None | $436.52 | $630.96 | $954.99 |
United Setting Professional Modifier RR · Rental Typical Low $50.12 Median $72.44 Typical High $100.00 | Professional | RR · Rental | $50.12 | $72.44 | $100.00 |
United Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $478.63 Typical High $724.44 | Professional | UE · Used equipment | $331.13 | $478.63 | $724.44 |
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 12.9 times more in Kansas 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· 27th of 51
$912
KS $1,950MS $151
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.