How much rates vary
Facilitymedian $74 · 10th to 90th $66 to $87Professionalmedian $74 · 10th to 90th $44 to $112
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 $40.74 Median $74.13 Typical High $91.20 | Professional | None | $40.74 | $74.13 | $91.20 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $54.95 Typical High $66.07 | Professional | UE · Used equipment | $30.90 | $54.95 | $66.07 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | RR · Rental | $9.77 | $9.77 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $87.10 | Facility | None | $66.07 | $66.07 | $87.10 |
Cigna Setting Facility Modifier RR · Rental Typical Low $6.61 Median $6.61 Typical High $8.71 | Facility | RR · Rental | $6.61 | $6.61 | $8.71 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $87.10 | Professional | None | $66.07 | $66.07 | $87.10 |
Cigna Setting Professional Modifier RR · Rental Typical Low $6.61 Median $6.61 Typical High $7.08 | Professional | RR · Rental | $6.61 | $6.61 | $7.08 |
Medcost Setting Professional Modifier None Typical Low $69.18 Median $75.86 Typical High $75.86 | Professional | None | $69.18 | $75.86 | $75.86 |
Medcost Setting Facility Modifier None Typical Low $40.74 Median $74.13 Typical High $107.15 | Facility | None | $40.74 | $74.13 | $107.15 |
Medcost Setting Professional Modifier None Typical Low $107.15 Median $112.20 Typical High $112.20 | Professional | None | $107.15 | $112.20 | $112.20 |
Medcost Setting Professional Modifier RR · Rental Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | RR · Rental | $11.22 | $11.22 | $11.22 |
United Setting Professional Modifier None Typical Low $41.69 Median $60.26 Typical High $87.10 | Professional | None | $41.69 | $60.26 | $87.10 |
United Setting Professional Modifier RR · Rental Typical Low $4.17 Median $6.03 Typical High $8.71 | Professional | RR · Rental | $4.17 | $6.03 | $8.71 |
United Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $45.71 Typical High $64.57 | Professional | UE · Used equipment | $30.90 | $45.71 | $64.57 |
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 $169.82 Median $169.82 Typical High $169.82 | Professional | 50 · Both sides | $169.82 | $169.82 | $169.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 51 · Multiple procedures | $56.23 | $56.23 | $56.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 80 · Assistant surgeon | $22.39 | $22.39 | $22.39 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 81 · Minimal assistant surgeon | $15.85 | $15.85 | $15.85 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 82 · Assistant surgeon, no resident | $15.85 | $15.85 | $15.85 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | AS · PA/NP assist | $15.85 | $15.85 | $15.85 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | SH · Second concurrent infusion | $56.23 | $56.23 | $56.23 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | SJ · Third+ concurrent infusion | $56.23 | $56.23 | $56.23 |
Where North Carolina sits
The same service costs 2.6 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· 33rd of 51
$74.13
HI $135NM $52.48
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.