How much rates vary
Facilitymedian $72 · 10th to 90th $72 to $95Professionalmedian $72 · 10th to 90th $52 to $100
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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $81.28 Typical High $102.33 | Professional | None | $70.79 | $81.28 | $102.33 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $61.66 Typical High $77.62 | Professional | UE · Used equipment | $61.66 | $61.66 | $77.62 |
BCBS North Carolina Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $131.83 | Facility | None | $109.65 | $109.65 | $131.83 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | RR · Rental | $9.77 | $9.77 | $9.77 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $81.28 | Facility | None | $72.44 | $72.44 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $95.50 | Professional | None | $72.44 | $72.44 | $95.50 |
Medcost Setting Professional Modifier None Typical Low $54.95 Median $60.26 Typical High $60.26 | Professional | None | $54.95 | $60.26 | $60.26 |
Medcost Setting Facility Modifier None Typical Low $37.15 Median $81.28 Typical High $100.00 | Facility | None | $37.15 | $81.28 | $100.00 |
Medcost Setting Professional Modifier None Typical Low $95.50 Median $100.00 Typical High $100.00 | Professional | None | $95.50 | $100.00 | $100.00 |
Medcost Setting Professional Modifier RR · Rental Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | RR · Rental | $10.00 | $10.00 | $10.00 |
United Setting Professional Modifier None Typical Low $39.81 Median $61.66 Typical High $83.18 | Professional | None | $39.81 | $61.66 | $83.18 |
United Setting Professional Modifier RR · Rental Typical Low $4.17 Median $6.17 Typical High $8.32 | Professional | RR · Rental | $4.17 | $6.17 | $8.32 |
United Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $45.71 Typical High $63.10 | Professional | UE · Used equipment | $29.51 | $45.71 | $63.10 |
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 $151.36 Median $151.36 Typical High $151.36 | Professional | 50 · Both sides | $151.36 | $151.36 | $151.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 51 · Multiple procedures | $50.12 | $50.12 | $50.12 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 80 · Assistant surgeon | $19.95 | $19.95 | $19.95 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 81 · Minimal assistant surgeon | $14.13 | $14.13 | $14.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 82 · Assistant surgeon, no resident | $14.13 | $14.13 | $14.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | AS · PA/NP assist | $14.13 | $14.13 | $14.13 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | SH · Second concurrent infusion | $50.12 | $50.12 | $50.12 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | SJ · Third+ concurrent infusion | $50.12 | $50.12 | $50.12 |
Where North Carolina sits
The same service costs 2.6 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· 38th of 51
$72.44
KS $135NM $51.29
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.