How much rates vary
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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $239.88 Typical High $239.88 | Professional | None | $194.98 | $239.88 | $239.88 |
BCBS North Carolina Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Medcost Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $288.40 | Facility | None | $239.88 | $239.88 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
11 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier MS · Maintenance fee Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | MS · Maintenance fee | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier RR · Rental Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | RR · Rental | $23.99 | $23.99 | $23.99 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $144.54 Median $177.83 Typical High $177.83 | Professional | UE · Used equipment | $144.54 | $177.83 | $177.83 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 50 · Both sides | $1,071.52 | $1,071.52 | $1,071.52 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 51 · Multiple procedures | $363.08 | $363.08 | $363.08 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 80 · Assistant surgeon | $144.54 | $144.54 | $144.54 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 81 · Minimal assistant surgeon | $100.00 | $100.00 | $100.00 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 82 · Assistant surgeon, no resident | $100.00 | $100.00 | $100.00 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | AS · PA/NP assist | $100.00 | $100.00 | $100.00 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | SH · Second concurrent infusion | $363.08 | $363.08 | $363.08 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | SJ · Third+ concurrent infusion | $363.08 | $363.08 | $363.08 |
Where North Carolina sits
The same service costs 12.6 times more in Hawaii than in Arizona. 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· 25th of 51
$240
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.