How much rates vary
Facilitymedian $245 · 10th to 90th $245 to $324Professionalmedian $269 · 10th to 90th $155 to $372
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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $288.40 Typical High $331.13 | Professional | None | $141.25 | $288.40 | $331.13 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $107.15 Median $218.78 Typical High $234.42 | Professional | UE · Used equipment | $107.15 | $218.78 | $234.42 |
Ambetter Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
BCBS North Carolina Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $512.86 | Facility | None | $426.58 | $426.58 | $512.86 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | RR · Rental | $35.48 | $35.48 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $323.59 | Facility | None | $245.47 | $245.47 | $323.59 |
Cigna Setting Facility Modifier RR · Rental Typical Low $24.55 Median $24.55 Typical High $32.36 | Facility | RR · Rental | $24.55 | $24.55 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $323.59 | Professional | None | $245.47 | $245.47 | $323.59 |
Cigna Setting Professional Modifier RR · Rental Typical Low $24.55 Median $24.55 Typical High $31.62 | Professional | RR · Rental | $24.55 | $24.55 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $239.88 Median $263.03 Typical High $263.03 | Professional | None | $239.88 | $263.03 | $263.03 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $288.40 Typical High $371.54 | Facility | None | $141.25 | $288.40 | $371.54 |
Medcost Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $371.54 | Professional | None | $338.84 | $338.84 | $371.54 |
Medcost Setting Professional Modifier RR · Rental Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | RR · Rental | $38.90 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $151.36 Median $218.78 Typical High $309.03 | Professional | None | $151.36 | $218.78 | $309.03 |
United Setting Professional Modifier RR · Rental Typical Low $15.14 Median $21.88 Typical High $30.90 | Professional | RR · Rental | $15.14 | $21.88 | $30.90 |
United Setting Professional Modifier UE · Used equipment Typical Low $112.20 Median $165.96 Typical High $234.42 | Professional | UE · Used equipment | $112.20 | $165.96 | $234.42 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | 50 · Both sides | $501.19 | $501.19 | $501.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 51 · Multiple procedures | $169.82 | $169.82 | $169.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 80 · Assistant surgeon | $67.61 | $67.61 | $67.61 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 81 · Minimal assistant surgeon | $46.77 | $46.77 | $46.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 82 · Assistant surgeon, no resident | $46.77 | $46.77 | $46.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | AS · PA/NP assist | $46.77 | $46.77 | $46.77 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | SH · Second concurrent infusion | $169.82 | $169.82 | $169.82 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | SJ · Third+ concurrent infusion | $169.82 | $169.82 | $169.82 |
Where North Carolina sits
The same service costs 2.7 times more in Hawaii than in Illinois. 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· 35th of 51
$269
HI $490IL $182
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.