How much rates vary
Facilitymedian $5 · 10th to 90th $4 to $6Professionalmedian $5 · 10th to 90th $3 to $6
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 $5.25 Median $5.25 Typical High $5.25 | Facility | None | $5.25 | $5.25 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $5.25 Typical High $6.61 | Professional | None | $4.57 | $5.25 | $6.61 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $3.89 Median $3.89 Typical High $4.90 | Professional | UE · Used equipment | $3.89 | $3.89 | $4.90 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | RR · Rental | $0.65 | $0.65 | $0.65 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $4.79 Typical High $5.25 | Facility | None | $4.79 | $4.79 | $5.25 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $6.31 | Professional | None | $4.79 | $4.79 | $6.31 |
Medcost Setting Professional Modifier None Typical Low $3.80 Median $4.07 Typical High $4.07 | Professional | None | $3.80 | $4.07 | $4.07 |
Medcost Setting Facility Modifier None Typical Low $2.24 Median $5.25 Typical High $6.31 | Facility | None | $2.24 | $5.25 | $6.31 |
Medcost Setting Professional Modifier None Typical Low $5.89 Median $6.17 Typical High $6.17 | Professional | None | $5.89 | $6.17 | $6.17 |
Medcost Setting Professional Modifier RR · Rental Typical Low $0.65 Median $0.65 Typical High $0.65 | Professional | RR · Rental | $0.65 | $0.65 | $0.65 |
United Setting Professional Modifier None Typical Low $2.40 Median $3.80 Typical High $5.37 | Professional | None | $2.40 | $3.80 | $5.37 |
United Setting Professional Modifier RR · Rental Typical Low $0.25 Median $0.40 Typical High $0.56 | Professional | RR · Rental | $0.25 | $0.40 | $0.56 |
United Setting Professional Modifier UE · Used equipment Typical Low $1.82 Median $2.82 Typical High $4.07 | Professional | UE · Used equipment | $1.82 | $2.82 | $4.07 |
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 $9.33 Median $9.33 Typical High $9.33 | Professional | 50 · Both sides | $9.33 | $9.33 | $9.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | 51 · Multiple procedures | $3.09 | $3.09 | $3.09 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1.23 Median $1.23 Typical High $1.23 | Professional | 80 · Assistant surgeon | $1.23 | $1.23 | $1.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | 81 · Minimal assistant surgeon | $0.85 | $0.85 | $0.85 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | 82 · Assistant surgeon, no resident | $0.85 | $0.85 | $0.85 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | AS · PA/NP assist | $0.85 | $0.85 | $0.85 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | SH · Second concurrent infusion | $3.09 | $3.09 | $3.09 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | SJ · Third+ concurrent infusion | $3.09 | $3.09 | $3.09 |
Where North Carolina sits
The same service costs 7.9 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· 33rd of 51
$4.79
KS $27.54NM $3.47
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.