How much rates vary
Facilitymedian $646 · 10th to 90th $58 to $676Professionalmedian $575 · 10th to 90th $324 to $661
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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $512.86 | $645.65 | $645.65 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $478.63 Typical High $478.63 | Professional | UE · Used equipment | $380.19 | $478.63 | $478.63 |
BCBS North Carolina Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $91.20 | Facility | None | $75.86 | $75.86 | $91.20 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $67.61 Median $69.18 Typical High $93.33 | Professional | RR · Rental | $67.61 | $69.18 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $645.65 | $660.69 | $660.69 |
Cigna Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | RR · Rental | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | UE · Used equipment | $501.19 | $501.19 | $501.19 |
Medcost Setting Facility Modifier None Typical Low $57.54 Median $645.65 Typical High $724.44 | Facility | None | $57.54 | $645.65 | $724.44 |
Medcost Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $933.25 | Professional | None (both parts) | $575.44 | $575.44 | $933.25 |
Medcost Setting Professional Modifier RR · Rental Typical Low $70.79 Median $70.79 Typical High $107.15 | Professional | RR · Rental | $70.79 | $70.79 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $363.08 Typical High $524.81 | Professional | None (both parts) | $263.03 | $363.08 | $524.81 |
United Setting Professional Modifier RR · Rental Typical Low $30.20 Median $44.67 Typical High $57.54 | Professional | RR · Rental | $30.20 | $44.67 | $57.54 |
United Setting Professional Modifier UE · Used equipment Typical Low $208.93 Median $269.15 Typical High $398.11 | Professional | UE · Used equipment | $208.93 | $269.15 | $398.11 |
10 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 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $501.19 | Professional | 26 · Professional part | $229.09 | $229.09 | $501.19 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $870.96 Typical High $2,454.71 | Professional | 50 · Both sides | $870.96 | $870.96 | $2,454.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $288.40 Median $288.40 Typical High $831.76 | Professional | 51 · Multiple procedures | $288.40 | $288.40 | $831.76 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $114.82 Median $114.82 Typical High $331.13 | Professional | 80 · Assistant surgeon | $114.82 | $114.82 | $331.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $81.28 Typical High $229.09 | Professional | 81 · Minimal assistant surgeon | $81.28 | $81.28 | $229.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $81.28 Typical High $229.09 | Professional | 82 · Assistant surgeon, no resident | $81.28 | $81.28 | $229.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $81.28 Typical High $229.09 | Professional | AS · PA/NP assist | $81.28 | $81.28 | $229.09 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | SH · Second concurrent infusion | $288.40 | $288.40 | $288.40 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | SJ · Third+ concurrent infusion | $288.40 | $288.40 | $288.40 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $741.31 | Professional | TC · Technical part | $346.74 | $346.74 | $741.31 |
Where North Carolina sits
The same service costs 3.2 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· 29th of 51
$575
ND $1,047MS $324
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.