How much rates vary
Facilitymedian $74 · 10th to 90th $60 to $89Professionalmedian $74 · 10th to 90th $48 to $126
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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $74.13 Typical High $91.20 | Professional | None | $45.71 | $74.13 | $91.20 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $56.23 Typical High $60.26 | Professional | UE · Used equipment | $33.88 | $56.23 | $60.26 |
Ambetter Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None | $93.33 | $93.33 | $93.33 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | RR · Rental | $10.00 | $10.00 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $79.43 | Facility | None | $60.26 | $60.26 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $81.28 | Professional | None | $60.26 | $60.26 | $81.28 |
Medcost Setting Professional Modifier None Typical Low $77.62 Median $83.18 Typical High $83.18 | Professional | None | $77.62 | $83.18 | $83.18 |
Medcost Setting Facility Modifier None Typical Low $45.71 Median $74.13 Typical High $117.49 | Facility | None | $45.71 | $74.13 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $125.89 | Professional | None | $112.20 | $125.89 | $125.89 |
Medcost Setting Professional Modifier RR · Rental Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | RR · Rental | $12.59 | $12.59 | $12.59 |
United Setting Professional Modifier None Typical Low $40.74 Median $63.10 Typical High $89.13 | Professional | None | $40.74 | $63.10 | $89.13 |
United Setting Professional Modifier RR · Rental Typical Low $4.07 Median $6.31 Typical High $8.91 | Professional | RR · Rental | $4.07 | $6.31 | $8.91 |
United Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $47.86 Typical High $66.07 | Professional | UE · Used equipment | $30.90 | $47.86 | $66.07 |
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 $186.21 Median $186.21 Typical High $186.21 | Professional | 50 · Both sides | $186.21 | $186.21 | $186.21 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 51 · Multiple procedures | $61.66 | $61.66 | $61.66 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 80 · Assistant surgeon | $25.12 | $25.12 | $25.12 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 81 · Minimal assistant surgeon | $17.38 | $17.38 | $17.38 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 82 · Assistant surgeon, no resident | $17.38 | $17.38 | $17.38 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | AS · PA/NP assist | $17.38 | $17.38 | $17.38 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | SH · Second concurrent infusion | $61.66 | $61.66 | $61.66 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | SJ · Third+ concurrent infusion | $61.66 | $61.66 | $61.66 |
Where North Carolina sits
The same service costs 2.9 times more in Hawaii 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· 34th of 51
$74.13
HI $138NM $47.86
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.