How much rates vary
Facilitymedian $37 · 10th to 90th $36 to $47Professionalmedian $36 · 10th to 90th $26 to $47
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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $39.81 Typical High $48.98 | Professional | None | $37.15 | $39.81 | $48.98 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $29.51 Typical High $35.48 | Professional | UE · Used equipment | $27.54 | $29.51 | $35.48 |
BCBS North Carolina Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $44.67 | Facility | None | $36.31 | $36.31 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $47.86 | Professional | None | $36.31 | $36.31 | $47.86 |
Medcost Setting Facility Modifier None Typical Low $37.15 Median $39.81 Typical High $51.29 | Facility | None | $37.15 | $39.81 | $51.29 |
Medcost Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
Medcost Setting Professional Modifier RR · Rental Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | RR · Rental | $4.37 | $4.37 | $4.37 |
United Setting Professional Modifier None Typical Low $20.89 Median $30.90 Typical High $40.74 | Professional | None | $20.89 | $30.90 | $40.74 |
United Setting Professional Modifier RR · Rental Typical Low $2.24 Median $3.31 Typical High $4.27 | Professional | RR · Rental | $2.24 | $3.31 | $4.27 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $22.91 Typical High $30.20 | Professional | UE · Used equipment | $15.49 | $22.91 | $30.20 |
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 $66.07 Median $66.07 Typical High $66.07 | Professional | 50 · Both sides | $66.07 | $66.07 | $66.07 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 51 · Multiple procedures | $21.88 | $21.88 | $21.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 80 · Assistant surgeon | $8.71 | $8.71 | $8.71 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 81 · Minimal assistant surgeon | $6.17 | $6.17 | $6.17 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 82 · Assistant surgeon, no resident | $6.17 | $6.17 | $6.17 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | AS · PA/NP assist | $6.17 | $6.17 | $6.17 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | SH · Second concurrent infusion | $21.88 | $21.88 | $21.88 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | SJ · Third+ concurrent infusion | $21.88 | $21.88 | $21.88 |
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
$36.31
KS $64.57NM $25.70
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.