How much rates vary
Facilitymedian $219 · 10th to 90th $209 to $331Professionalmedian $219 · 10th to 90th $148 to $331
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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $309.03 Typical High $380.19 | Professional | None | $123.03 | $309.03 | $380.19 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $91.20 Median $234.42 Typical High $288.40 | Professional | UE · Used equipment | $91.20 | $234.42 | $288.40 |
BCBS North Carolina Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $436.52 | Facility | None | $363.08 | $363.08 | $436.52 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | RR · Rental | $33.88 | $33.88 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $269.15 | Facility | None | $208.93 | $208.93 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $288.40 | Professional | None | $177.83 | $208.93 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $223.87 | Professional | None | $208.93 | $223.87 | $223.87 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $309.03 Typical High $371.54 | Facility | None | $123.03 | $309.03 | $371.54 |
Medcost Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Medcost Setting Professional Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | RR · Rental | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $131.83 Median $208.93 Typical High $269.15 | Professional | None | $131.83 | $208.93 | $269.15 |
United Setting Professional Modifier RR · Rental Typical Low $13.18 Median $20.89 Typical High $27.54 | Professional | RR · Rental | $13.18 | $20.89 | $27.54 |
United Setting Professional Modifier UE · Used equipment Typical Low $97.72 Median $158.49 Typical High $204.17 | Professional | UE · Used equipment | $97.72 | $158.49 | $204.17 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | 50 · Both sides | $501.19 | $501.19 | $501.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 51 · Multiple procedures | $165.96 | $165.96 | $165.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 80 · Assistant surgeon | $66.07 | $66.07 | $66.07 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 81 · Minimal assistant surgeon | $46.77 | $46.77 | $46.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 82 · Assistant surgeon, no resident | $46.77 | $46.77 | $46.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | AS · PA/NP assist | $46.77 | $46.77 | $46.77 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | SH · Second concurrent infusion | $165.96 | $165.96 | $165.96 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | SJ · Third+ concurrent infusion | $165.96 | $165.96 | $165.96 |
Where North Carolina sits
The same service costs 4.1 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· 39th of 51
$219
ND $513MS $126
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.