How much rates vary
Facilitymedian $115 · 10th to 90th $115 to $145Professionalmedian $115 · 10th to 90th $68 to $162
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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $125.89 Typical High $144.54 | Professional | None | $61.66 | $125.89 | $144.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $93.33 Typical High $109.65 | Professional | UE · Used equipment | $46.77 | $93.33 | $109.65 |
BCBS North Carolina Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $213.80 | Facility | None | $177.83 | $177.83 | $213.80 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | RR · Rental | $15.14 | $15.14 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $128.82 | Facility | None | $114.82 | $114.82 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $144.54 | Professional | None | $114.82 | $114.82 | $144.54 |
Medcost Setting Facility Modifier None Typical Low $61.66 Median $125.89 Typical High $162.18 | Facility | None | $61.66 | $125.89 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Medcost Setting Professional Modifier RR · Rental Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | RR · Rental | $16.22 | $16.22 | $16.22 |
United Setting Professional Modifier None Typical Low $61.66 Median $93.33 Typical High $134.90 | Professional | None | $61.66 | $93.33 | $134.90 |
United Setting Professional Modifier RR · Rental Typical Low $6.17 Median $9.33 Typical High $13.49 | Professional | RR · Rental | $6.17 | $9.33 | $13.49 |
United Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $70.79 Typical High $100.00 | Professional | UE · Used equipment | $46.77 | $70.79 | $100.00 |
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 $239.88 Median $239.88 Typical High $239.88 | Professional | 50 · Both sides | $239.88 | $239.88 | $239.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 51 · Multiple procedures | $81.28 | $81.28 | $81.28 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 80 · Assistant surgeon | $32.36 | $32.36 | $32.36 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 81 · Minimal assistant surgeon | $22.39 | $22.39 | $22.39 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 82 · Assistant surgeon, no resident | $22.39 | $22.39 | $22.39 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | AS · PA/NP assist | $22.39 | $22.39 | $22.39 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | SH · Second concurrent infusion | $81.28 | $81.28 | $81.28 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | SJ · Third+ concurrent infusion | $81.28 | $81.28 | $81.28 |
Where North Carolina sits
The same service costs 2.6 times more in Hawaii than in Illinois. 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· 35th of 51
$115
HI $214IL $83.18
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.