How much rates vary
Facilitymedian $537 · 10th to 90th $501 to $1,380Professionalmedian $1,380 · 10th to 90th $501 to $1,622
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,584.89 | Professional | None | $1,258.93 | $1,258.93 | $1,584.89 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $954.99 Median $954.99 Typical High $1,174.90 | Professional | UE · Used equipment | $954.99 | $954.99 | $1,174.90 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,905.46 | Facility | None | $1,584.89 | $1,584.89 | $1,905.46 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | RR · Rental | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $501.19 | Professional | None | $426.58 | $501.19 | $501.19 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,122.02 Typical High $1,122.02 | Professional | None | $1,023.29 | $1,122.02 | $1,122.02 |
Medcost Setting Facility Modifier None Typical Low $602.56 Median $1,258.93 Typical High $1,513.56 | Facility | None | $602.56 | $1,258.93 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,584.89 | Professional | None | $1,380.38 | $1,380.38 | $1,584.89 |
Medcost Setting Professional Modifier RR · Rental Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | RR · Rental | $138.04 | $138.04 | $138.04 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,230.27 Typical High $1,737.80 | Professional | None | $812.83 | $1,230.27 | $1,737.80 |
United Setting Professional Modifier RR · Rental Typical Low $81.28 Median $123.03 Typical High $173.78 | Professional | RR · Rental | $81.28 | $123.03 | $173.78 |
United Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $912.01 Typical High $1,288.25 | Professional | UE · Used equipment | $616.60 | $912.01 | $1,288.25 |
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 $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | 50 · Both sides | $2,089.30 | $2,089.30 | $2,089.30 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | 51 · Multiple procedures | $691.83 | $691.83 | $691.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 80 · Assistant surgeon | $275.42 | $275.42 | $275.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 81 · Minimal assistant surgeon | $194.98 | $194.98 | $194.98 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 82 · Assistant surgeon, no resident | $194.98 | $194.98 | $194.98 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | AS · PA/NP assist | $194.98 | $194.98 | $194.98 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | SH · Second concurrent infusion | $691.83 | $691.83 | $691.83 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | SJ · Third+ concurrent infusion | $691.83 | $691.83 | $691.83 |
Where North Carolina sits
The same service costs 7.6 times more in Kansas 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
$1,259
KS $2,512MS $331
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.