How much rates vary
Facilitymedian $1,413 · 10th to 90th $776 to $2,089Professionalmedian $1,660 · 10th to 90th $1,047 to $2,089
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 $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $1,513.56 Median $1,949.84 Typical High $2,454.71 | Professional | None | $1,513.56 | $1,949.84 | $2,454.71 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,479.11 Median $1,479.11 Typical High $1,819.70 | Professional | UE · Used equipment | $1,479.11 | $1,479.11 | $1,819.70 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,754.23 | Facility | None | $2,290.87 | $2,290.87 | $2,754.23 |
BCBS North Carolina 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 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $1,412.54 Typical High $1,412.54 | Facility | None | $213.80 | $1,412.54 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $1,412.54 Typical High $1,513.56 | Professional | None | $213.80 | $1,412.54 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $1,318.26 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,318.26 | $1,412.54 | $1,412.54 |
Medcost Setting Facility Modifier None Typical Low $776.25 Median $1,949.84 Typical High $2,344.23 | Facility | None | $776.25 | $1,949.84 | $2,344.23 |
Medcost Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Medcost Setting Professional Modifier RR · Rental Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | RR · Rental | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,479.11 Typical High $2,041.74 | Professional | None | $1,023.29 | $1,479.11 | $2,041.74 |
United Setting Professional Modifier RR · Rental Typical Low $102.33 Median $147.91 Typical High $204.17 | Professional | RR · Rental | $102.33 | $147.91 | $204.17 |
United Setting Professional Modifier UE · Used equipment Typical Low $776.25 Median $1,122.02 Typical High $1,548.82 | Professional | UE · Used equipment | $776.25 | $1,122.02 | $1,548.82 |
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 51 · Multiple procedures | $1,047.13 | $1,047.13 | $1,047.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 80 · Assistant surgeon | $416.87 | $416.87 | $416.87 |
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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | SH · Second concurrent infusion | $1,047.13 | $1,047.13 | $1,047.13 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | SJ · Third+ concurrent infusion | $1,047.13 | $1,047.13 | $1,047.13 |
Where North Carolina sits
The same service costs 8.5 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· 26th of 51
$1,660
ND $3,236MS $380
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.