How much rates vary
Facilitymedian $324 · 10th to 90th $234 to $447Professionalmedian $347 · 10th to 90th $234 to $479
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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $446.68 Typical High $602.56 | Professional | None | $371.54 | $446.68 | $602.56 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $338.84 Typical High $446.68 | Professional | UE · Used equipment | $338.84 | $338.84 | $446.68 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | RR · Rental | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $501.19 | Professional | None | $234.42 | $234.42 | $501.19 |
Medcost Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $346.74 | Professional | None | $316.23 | $346.74 | $346.74 |
Medcost Setting Facility Modifier None Typical Low $186.21 Median $446.68 Typical High $537.03 | Facility | None | $186.21 | $446.68 | $537.03 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $478.63 | Professional | None | $416.87 | $416.87 | $478.63 |
Medcost Setting Professional Modifier RR · Rental Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | RR · Rental | $47.86 | $47.86 | $47.86 |
United Setting Professional Modifier None Typical Low $204.17 Median $302.00 Typical High $416.87 | Professional | None | $204.17 | $302.00 | $416.87 |
United Setting Professional Modifier RR · Rental Typical Low $20.42 Median $30.20 Typical High $41.69 | Professional | RR · Rental | $20.42 | $30.20 | $41.69 |
United Setting Professional Modifier UE · Used equipment Typical Low $151.36 Median $229.09 Typical High $309.03 | Professional | UE · Used equipment | $151.36 | $229.09 | $309.03 |
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 $616.60 Median $724.44 Typical High $724.44 | Professional | 50 · Both sides | $616.60 | $724.44 | $724.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | 51 · Multiple procedures | $204.17 | $239.88 | $239.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $83.18 Median $95.50 Typical High $95.50 | Professional | 80 · Assistant surgeon | $83.18 | $95.50 | $95.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $57.54 Median $67.61 Typical High $67.61 | Professional | 81 · Minimal assistant surgeon | $57.54 | $67.61 | $67.61 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $57.54 Median $67.61 Typical High $67.61 | Professional | 82 · Assistant surgeon, no resident | $57.54 | $67.61 | $67.61 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $57.54 Median $67.61 Typical High $67.61 | Professional | AS · PA/NP assist | $57.54 | $67.61 | $67.61 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | SH · Second concurrent infusion | $204.17 | $239.88 | $239.88 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $204.17 Median $239.88 Typical High $239.88 | Professional | SJ · Third+ concurrent infusion | $204.17 | $239.88 | $239.88 |
Where North Carolina sits
The same service costs 3.0 times more in Hawaii than in Utah. 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· 36th of 51
$347
HI $708UT $234
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.