How much rates vary
Facilitymedian $23 · 10th to 90th $23 to $31Professionalmedian $23 · 10th to 90th $16 to $32
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 $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $25.70 Typical High $31.62 | Professional | None | $19.50 | $25.70 | $31.62 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $19.05 Typical High $23.99 | Professional | UE · Used equipment | $14.45 | $19.05 | $23.99 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | RR · Rental | $3.09 | $3.09 | $3.09 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $25.12 | Facility | None | $23.44 | $23.44 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $30.90 | Professional | None | $23.44 | $23.44 | $30.90 |
Medcost Setting Professional Modifier None Typical Low $19.95 Median $21.38 Typical High $21.38 | Professional | None | $19.95 | $21.38 | $21.38 |
Medcost Setting Facility Modifier None Typical Low $11.75 Median $25.70 Typical High $31.62 | Facility | None | $11.75 | $25.70 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $30.20 Median $31.62 Typical High $31.62 | Professional | None | $30.20 | $31.62 | $31.62 |
Medcost Setting Professional Modifier RR · Rental Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | RR · Rental | $3.24 | $3.24 | $3.24 |
United Setting Professional Modifier None Typical Low $12.59 Median $19.50 Typical High $27.54 | Professional | None | $12.59 | $19.50 | $27.54 |
United Setting Professional Modifier RR · Rental Typical Low $1.26 Median $1.95 Typical High $2.75 | Professional | RR · Rental | $1.26 | $1.95 | $2.75 |
United Setting Professional Modifier UE · Used equipment Typical Low $9.33 Median $14.45 Typical High $20.42 | Professional | UE · Used equipment | $9.33 | $14.45 | $20.42 |
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 $46.77 Median $47.86 Typical High $47.86 | Professional | 50 · Both sides | $46.77 | $47.86 | $47.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $15.49 Median $15.85 Typical High $15.85 | Professional | 51 · Multiple procedures | $15.49 | $15.85 | $15.85 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.31 Median $6.46 Typical High $6.46 | Professional | 80 · Assistant surgeon | $6.31 | $6.46 | $6.46 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.37 Median $4.47 Typical High $4.47 | Professional | 81 · Minimal assistant surgeon | $4.37 | $4.47 | $4.47 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.37 Median $4.47 Typical High $4.47 | Professional | 82 · Assistant surgeon, no resident | $4.37 | $4.47 | $4.47 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.37 Median $4.47 Typical High $4.47 | Professional | AS · PA/NP assist | $4.37 | $4.47 | $4.47 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | SH · Second concurrent infusion | $15.85 | $15.85 | $15.85 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | SJ · Third+ concurrent infusion | $15.85 | $15.85 | $15.85 |
Where North Carolina sits
The same service costs 2.5 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· 36th of 51
$23.44
KS $42.66NM $16.98
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.