How much rates vary
Facilitymedian $17 · 10th to 90th $16 to $21Professionalmedian $17 · 10th to 90th $11 to $22
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 $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $19.05 Typical High $23.44 | Professional | None | $16.22 | $19.05 | $23.44 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $14.13 Median $14.13 Typical High $17.38 | Professional | UE · Used equipment | $14.13 | $14.13 | $17.38 |
BCBS North Carolina Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $28.84 | Facility | None | $24.55 | $24.55 | $28.84 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | RR · Rental | $2.24 | $2.24 | $2.24 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $20.89 | Professional | None | $17.38 | $17.38 | $20.89 |
Medcost Setting Professional Modifier None Typical Low $13.80 Median $14.79 Typical High $14.79 | Professional | None | $13.80 | $14.79 | $14.79 |
Medcost Setting Facility Modifier None Typical Low $8.13 Median $19.05 Typical High $22.91 | Facility | None | $8.13 | $19.05 | $22.91 |
Medcost Setting Professional Modifier None Typical Low $20.89 Median $21.88 Typical High $21.88 | Professional | None | $20.89 | $21.88 | $21.88 |
Medcost Setting Professional Modifier RR · Rental Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | RR · Rental | $2.19 | $2.19 | $2.19 |
United Setting Professional Modifier None Typical Low $8.71 Median $13.49 Typical High $19.50 | Professional | None | $8.71 | $13.49 | $19.50 |
United Setting Professional Modifier RR · Rental Typical Low $0.85 Median $1.35 Typical High $1.95 | Professional | RR · Rental | $0.85 | $1.35 | $1.95 |
United Setting Professional Modifier UE · Used equipment Typical Low $6.46 Median $10.23 Typical High $14.79 | Professional | UE · Used equipment | $6.46 | $10.23 | $14.79 |
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 $33.11 Median $33.11 Typical High $33.11 | Professional | 50 · Both sides | $33.11 | $33.11 | $33.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 51 · Multiple procedures | $10.96 | $10.96 | $10.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | 80 · Assistant surgeon | $4.47 | $4.47 | $4.47 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | 81 · Minimal assistant surgeon | $3.09 | $3.09 | $3.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | 82 · Assistant surgeon, no resident | $3.09 | $3.09 | $3.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | AS · PA/NP assist | $3.09 | $3.09 | $3.09 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | SH · Second concurrent infusion | $10.96 | $10.96 | $10.96 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | SJ · Third+ concurrent infusion | $10.96 | $10.96 | $10.96 |
Where North Carolina sits
The same service costs 3.1 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· 37th of 51
$17.38
KS $36.31NM $11.75
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.