How much rates vary
Facilitymedian $871 · 10th to 90th $871 to $1,047Professionalmedian $871 · 10th to 90th $550 to $1,175
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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $933.25 Typical High $1,174.90 | Professional | None | $446.68 | $933.25 | $1,174.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $691.83 Typical High $851.14 | Professional | UE · Used equipment | $338.84 | $691.83 | $851.14 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,412.54 | Facility | None | $1,174.90 | $1,174.90 | $1,412.54 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | RR · Rental | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Facility Modifier RR · Rental Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | RR · Rental | $87.10 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $891.25 | Professional | None | $741.31 | $870.96 | $891.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | RR · Rental | $87.10 | $87.10 | $87.10 |
Medcost Setting Professional Modifier None Typical Low $758.58 Median $812.83 Typical High $812.83 | Professional | None | $758.58 | $812.83 | $812.83 |
Medcost Setting Facility Modifier None Typical Low $446.68 Median $933.25 Typical High $1,122.02 | Facility | None | $446.68 | $933.25 | $1,122.02 |
Medcost Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,174.90 | Professional | None | $1,047.13 | $1,047.13 | $1,174.90 |
Medcost Setting Professional Modifier RR · Rental Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | RR · Rental | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $478.63 Median $691.83 Typical High $977.24 | Professional | None | $478.63 | $691.83 | $977.24 |
United Setting Professional Modifier RR · Rental Typical Low $47.86 Median $69.18 Typical High $97.72 | Professional | RR · Rental | $47.86 | $69.18 | $97.72 |
United Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $512.86 Typical High $724.44 | Professional | UE · Used equipment | $363.08 | $512.86 | $724.44 |
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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | 50 · Both sides | $1,584.89 | $1,584.89 | $1,584.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 51 · Multiple procedures | $524.81 | $524.81 | $524.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 80 · Assistant surgeon | $208.93 | $208.93 | $208.93 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 81 · Minimal assistant surgeon | $147.91 | $147.91 | $147.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 82 · Assistant surgeon, no resident | $147.91 | $147.91 | $147.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | AS · PA/NP assist | $147.91 | $147.91 | $147.91 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | SH · Second concurrent infusion | $524.81 | $524.81 | $524.81 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | SJ · Third+ concurrent infusion | $524.81 | $524.81 | $524.81 |
Where North Carolina sits
The same service costs 8.7 times more in North Dakota than in Mississippi. 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· 29th of 51
$871
ND $1,514MS $174
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.