How much rates vary
Facilitymedian $30 · 10th to 90th $30 to $40Professionalmedian $30 · 10th to 90th $19 to $43
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 $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $33.88 Typical High $43.65 | Professional | None | $15.49 | $33.88 | $43.65 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $11.75 Median $25.12 Typical High $29.51 | Professional | UE · Used equipment | $11.75 | $25.12 | $29.51 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | RR · Rental | $4.07 | $4.07 | $4.07 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $39.81 | Facility | None | $30.20 | $30.20 | $39.81 |
Cigna Setting Facility Modifier RR · Rental Typical Low $3.02 Median $3.02 Typical High $3.02 | Facility | RR · Rental | $3.02 | $3.02 | $3.02 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $39.81 | Professional | None | $30.20 | $30.20 | $39.81 |
Cigna Setting Professional Modifier RR · Rental Typical Low $3.02 Median $3.02 Typical High $3.24 | Professional | RR · Rental | $3.02 | $3.02 | $3.24 |
Medcost Setting Professional Modifier None Typical Low $26.30 Median $28.18 Typical High $28.18 | Professional | None | $26.30 | $28.18 | $28.18 |
Medcost Setting Facility Modifier None Typical Low $15.49 Median $33.88 Typical High $42.66 | Facility | None | $15.49 | $33.88 | $42.66 |
Medcost Setting Professional Modifier None Typical Low $40.74 Median $42.66 Typical High $42.66 | Professional | None | $40.74 | $42.66 | $42.66 |
Medcost Setting Professional Modifier RR · Rental Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | RR · Rental | $4.27 | $4.27 | $4.27 |
United Setting Professional Modifier None Typical Low $16.60 Median $25.70 Typical High $35.48 | Professional | None | $16.60 | $25.70 | $35.48 |
United Setting Professional Modifier RR · Rental Typical Low $1.62 Median $2.51 Typical High $3.55 | Professional | RR · Rental | $1.62 | $2.51 | $3.55 |
United Setting Professional Modifier UE · Used equipment Typical Low $12.30 Median $19.05 Typical High $26.92 | Professional | UE · Used equipment | $12.30 | $19.05 | $26.92 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | 50 · Both sides | $64.57 | $64.57 | $64.57 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 51 · Multiple procedures | $21.38 | $21.38 | $21.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 80 · Assistant surgeon | $8.51 | $8.51 | $8.51 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 81 · Minimal assistant surgeon | $6.03 | $6.03 | $6.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 82 · Assistant surgeon, no resident | $6.03 | $6.03 | $6.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | AS · PA/NP assist | $6.03 | $6.03 | $6.03 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | SH · Second concurrent infusion | $21.38 | $21.38 | $21.38 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | SJ · Third+ concurrent infusion | $21.38 | $21.38 | $21.38 |
Where North Carolina sits
The same service costs 2.7 times more in Kansas than in New Mexico. 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· 38th of 51
$30.20
KS $60.26NM $22.39
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.