How much rates vary
Facilitymedian $347 · 10th to 90th $331 to $437Professionalmedian $347 · 10th to 90th $214 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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $389.05 Typical High $467.74 | Professional | None | $181.97 | $389.05 | $467.74 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $288.40 Typical High $323.59 | Professional | UE · Used equipment | $138.04 | $288.40 | $323.59 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | RR · Rental | $46.77 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $436.52 | Facility | None | $331.13 | $331.13 | $436.52 |
Cigna Setting Facility Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $43.65 | Facility | RR · Rental | $33.11 | $33.11 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $436.52 | Professional | None | $331.13 | $331.13 | $436.52 |
Cigna Setting Professional Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $40.74 | Professional | RR · Rental | $33.11 | $33.11 | $40.74 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $338.84 Typical High $338.84 | Professional | None | $309.03 | $338.84 | $338.84 |
Medcost Setting Facility Modifier None Typical Low $181.97 Median $389.05 Typical High $478.63 | Facility | None | $181.97 | $389.05 | $478.63 |
Medcost Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $478.63 | Professional | None | $426.58 | $426.58 | $478.63 |
Medcost Setting Professional Modifier RR · Rental Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | RR · Rental | $42.66 | $42.66 | $42.66 |
United Setting Professional Modifier None Typical Low $190.55 Median $288.40 Typical High $407.38 | Professional | None | $190.55 | $288.40 | $407.38 |
United Setting Professional Modifier RR · Rental Typical Low $19.05 Median $28.84 Typical High $40.74 | Professional | RR · Rental | $19.05 | $28.84 | $40.74 |
United Setting Professional Modifier UE · Used equipment Typical Low $144.54 Median $218.78 Typical High $309.03 | Professional | UE · Used equipment | $144.54 | $218.78 | $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 $645.65 Median $645.65 Typical High $645.65 | Professional | 50 · Both sides | $645.65 | $645.65 | $645.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | 51 · Multiple procedures | $213.80 | $213.80 | $213.80 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 80 · Assistant surgeon | $87.10 | $87.10 | $87.10 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 81 · Minimal assistant surgeon | $60.26 | $60.26 | $60.26 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 82 · Assistant surgeon, no resident | $60.26 | $60.26 | $60.26 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | AS · PA/NP assist | $60.26 | $60.26 | $60.26 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | SH · Second concurrent infusion | $213.80 | $213.80 | $213.80 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | SJ · Third+ concurrent infusion | $213.80 | $213.80 | $213.80 |
Where North Carolina sits
The same service costs 2.8 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· 37th of 51
$347
HI $708IL $251
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.