How much rates vary
Facilitymedian $33 · 10th to 90th $32 to $39Professionalmedian $32 · 10th to 90th $23 to $40
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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $45.71 | Professional | None | $34.67 | $34.67 | $45.71 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $26.30 Typical High $32.36 | Professional | UE · Used equipment | $26.30 | $26.30 | $32.36 |
BCBS North Carolina Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $50.12 | Facility | None | $41.69 | $41.69 | $50.12 |
BCBS North Carolina Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None | $42.66 | $42.66 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $39.81 | Professional | None | $31.62 | $31.62 | $39.81 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $34.67 Typical High $45.71 | Facility | None | $33.11 | $34.67 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None | $38.90 | $38.90 | $38.90 |
Medcost Setting Professional Modifier RR · Rental Typical Low $4.47 Median $4.90 Typical High $4.90 | Professional | RR · Rental | $4.47 | $4.90 | $4.90 |
United Setting Professional Modifier None Typical Low $18.62 Median $26.92 Typical High $35.48 | Professional | None | $18.62 | $26.92 | $35.48 |
United Setting Professional Modifier RR · Rental Typical Low $1.95 Median $2.88 Typical High $3.80 | Professional | RR · Rental | $1.95 | $2.88 | $3.80 |
United Setting Professional Modifier UE · Used equipment Typical Low $13.80 Median $20.42 Typical High $26.92 | Professional | UE · Used equipment | $13.80 | $20.42 | $26.92 |
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 $57.54 Median $57.54 Typical High $57.54 | Professional | 50 · Both sides | $57.54 | $57.54 | $57.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | 51 · Multiple procedures | $19.50 | $19.50 | $19.50 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 80 · Assistant surgeon | $7.76 | $7.76 | $7.76 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 81 · Minimal assistant surgeon | $5.37 | $5.37 | $5.37 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | 82 · Assistant surgeon, no resident | $5.37 | $5.37 | $5.37 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | AS · PA/NP assist | $5.37 | $5.37 | $5.37 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | SH · Second concurrent infusion | $19.50 | $19.50 | $19.50 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | SJ · Third+ concurrent infusion | $19.50 | $19.50 | $19.50 |
Where North Carolina sits
The same service costs 2.9 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· 36th of 51
$31.62
KS $66.07NM $22.91
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.