How much rates vary
Facilitymedian $1,349 · 10th to 90th $1,349 to $1,995Professionalmedian $1,660 · 10th to 90th $1,072 to $2,344
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,862.09 Typical High $2,344.23 | Professional | None | $912.01 | $1,862.09 | $2,344.23 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $676.08 Median $1,412.54 Typical High $1,698.24 | Professional | UE · Used equipment | $676.08 | $1,412.54 | $1,698.24 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | RR · Rental | $229.09 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,380.38 | Facility | None | $1,348.96 | $1,348.96 | $1,380.38 |
Cigna Setting Facility Modifier RR · Rental Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | RR · Rental | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $1,148.15 Median $1,348.96 Typical High $1,380.38 | Professional | None | $1,148.15 | $1,348.96 | $1,380.38 |
Cigna Setting Professional Modifier RR · Rental Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | RR · Rental | $134.90 | $134.90 | $134.90 |
Medcost Setting Professional Modifier None Typical Low $1,548.82 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,548.82 | $1,659.59 | $1,659.59 |
Medcost Setting Facility Modifier None Typical Low $912.01 Median $1,862.09 Typical High $2,238.72 | Facility | None | $912.01 | $1,862.09 | $2,238.72 |
Medcost Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,344.23 | Professional | None | $2,137.96 | $2,137.96 | $2,344.23 |
Medcost Setting Professional Modifier RR · Rental Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | RR · Rental | $213.80 | $213.80 | $213.80 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,380.38 Typical High $1,995.26 | Professional | None | $977.24 | $1,380.38 | $1,995.26 |
United Setting Professional Modifier RR · Rental Typical Low $97.72 Median $138.04 Typical High $199.53 | Professional | RR · Rental | $97.72 | $138.04 | $199.53 |
United Setting Professional Modifier UE · Used equipment Typical Low $724.44 Median $1,047.13 Typical High $1,479.11 | Professional | UE · Used equipment | $724.44 | $1,047.13 | $1,479.11 |
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 $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | 50 · Both sides | $3,162.28 | $3,162.28 | $3,162.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | 51 · Multiple procedures | $1,071.52 | $1,071.52 | $1,071.52 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 80 · Assistant surgeon | $426.58 | $426.58 | $426.58 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 81 · Minimal assistant surgeon | $295.12 | $295.12 | $295.12 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 82 · Assistant surgeon, no resident | $295.12 | $295.12 | $295.12 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | AS · PA/NP assist | $295.12 | $295.12 | $295.12 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | SH · Second concurrent infusion | $1,071.52 | $1,071.52 | $1,071.52 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | SJ · Third+ concurrent infusion | $1,071.52 | $1,071.52 | $1,071.52 |
Where North Carolina sits
The same service costs 3.2 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· 30th of 51
$1,549
ND $3,090MS $977
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.