How much rates vary
Facilitymedian $35 · 10th to 90th $32 to $46Professionalmedian $35 · 10th to 90th $24 to $46
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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $47.86 | Professional | None | $38.02 | $38.02 | $47.86 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $28.18 Median $28.18 Typical High $36.31 | Professional | UE · Used equipment | $28.18 | $28.18 | $36.31 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | RR · Rental | $4.57 | $4.57 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $41.69 | Facility | None | $35.48 | $35.48 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $46.77 | Professional | None | $35.48 | $35.48 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $28.18 Median $30.20 Typical High $30.20 | Professional | None | $28.18 | $30.20 | $30.20 |
Medcost Setting Facility Modifier None Typical Low $16.60 Median $38.02 Typical High $45.71 | Facility | None | $16.60 | $38.02 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Medcost Setting Professional Modifier RR · Rental Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | RR · Rental | $4.57 | $4.57 | $4.57 |
United Setting Professional Modifier None Typical Low $17.78 Median $28.18 Typical High $39.81 | Professional | None | $17.78 | $28.18 | $39.81 |
United Setting Professional Modifier RR · Rental Typical Low $1.78 Median $2.82 Typical High $3.98 | Professional | RR · Rental | $1.78 | $2.82 | $3.98 |
United Setting Professional Modifier UE · Used equipment Typical Low $13.49 Median $20.89 Typical High $30.20 | Professional | UE · Used equipment | $13.49 | $20.89 | $30.20 |
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 $67.61 Median $67.61 Typical High $67.61 | Professional | 50 · Both sides | $67.61 | $67.61 | $67.61 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 51 · Multiple procedures | $22.91 | $22.91 | $22.91 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 80 · Assistant surgeon | $9.12 | $9.12 | $9.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 81 · Minimal assistant surgeon | $6.31 | $6.31 | $6.31 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 82 · Assistant surgeon, no resident | $6.31 | $6.31 | $6.31 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | AS · PA/NP assist | $6.31 | $6.31 | $6.31 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | SH · Second concurrent infusion | $22.91 | $22.91 | $22.91 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | SJ · Third+ concurrent infusion | $22.91 | $22.91 | $22.91 |
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· 35th of 51
$35.48
KS $64.57NM $23.99
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.