How much rates vary
Facilitymedian $575 · 10th to 90th $575 to $759Professionalmedian $589 · 10th to 90th $363 to $813
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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $660.69 Typical High $812.83 | Professional | None | $309.03 | $660.69 | $812.83 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $234.42 Median $501.19 Typical High $588.84 | Professional | UE · Used equipment | $234.42 | $501.19 | $588.84 |
BCBS North Carolina Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,122.02 | Facility | None | $933.25 | $933.25 | $1,122.02 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | RR · Rental | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $707.95 | Facility | None | $575.44 | $575.44 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $758.58 | Professional | None | $575.44 | $575.44 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $575.44 | Professional | None | $524.81 | $575.44 | $575.44 |
Medcost Setting Facility Modifier None Typical Low $309.03 Median $660.69 Typical High $812.83 | Facility | None | $309.03 | $660.69 | $812.83 |
Medcost Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $812.83 | Professional | None | $724.44 | $724.44 | $812.83 |
Medcost Setting Professional Modifier RR · Rental Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | RR · Rental | $72.44 | $72.44 | $72.44 |
United Setting Professional Modifier None Typical Low $323.59 Median $501.19 Typical High $707.95 | Professional | None | $323.59 | $501.19 | $707.95 |
United Setting Professional Modifier RR · Rental Typical Low $32.36 Median $50.12 Typical High $70.79 | Professional | RR · Rental | $32.36 | $50.12 | $70.79 |
United Setting Professional Modifier UE · Used equipment Typical Low $245.47 Median $371.54 Typical High $524.81 | Professional | UE · Used equipment | $245.47 | $371.54 | $524.81 |
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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 50 · Both sides | $1,096.48 | $1,096.48 | $1,096.48 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 51 · Multiple procedures | $363.08 | $363.08 | $363.08 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 80 · Assistant surgeon | $147.91 | $147.91 | $147.91 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 81 · Minimal assistant surgeon | $102.33 | $102.33 | $102.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | 82 · Assistant surgeon, no resident | $102.33 | $102.33 | $102.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | AS · PA/NP assist | $102.33 | $102.33 | $102.33 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | SH · Second concurrent infusion | $363.08 | $363.08 | $363.08 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | SJ · Third+ concurrent infusion | $363.08 | $363.08 | $363.08 |
Where North Carolina sits
The same service costs 2.6 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
$589
HI $1,202IL $468
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.