How much rates vary
Facilitymedian $794 · 10th to 90th $794 to $1,259Professionalmedian $1,259 · 10th to 90th $794 to $1,585
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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,174.90 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier None Typical Low $537.03 Median $1,174.90 Typical High $1,479.11 | Professional | None | $537.03 | $1,174.90 | $1,479.11 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $407.38 Median $891.25 Typical High $1,096.48 | Professional | UE · Used equipment | $407.38 | $891.25 | $1,096.48 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,698.24 | Facility | None | $1,412.54 | $1,412.54 | $1,698.24 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | RR · Rental | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $794.33 Typical High $794.33 | Professional | None | $676.08 | $794.33 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $977.24 Typical High $977.24 | Professional | None | $912.01 | $977.24 | $977.24 |
Medcost Setting Facility Modifier None Typical Low $537.03 Median $1,174.90 Typical High $1,412.54 | Facility | None | $537.03 | $1,174.90 | $1,412.54 |
Medcost Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,412.54 | Professional | None | $1,258.93 | $1,258.93 | $1,412.54 |
Medcost Setting Professional Modifier RR · Rental Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | RR · Rental | $125.89 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $776.25 Median $1,288.25 Typical High $1,778.28 | Professional | None | $776.25 | $1,288.25 | $1,778.28 |
United Setting Professional Modifier RR · Rental Typical Low $77.62 Median $128.82 Typical High $177.83 | Professional | RR · Rental | $77.62 | $128.82 | $177.83 |
United Setting Professional Modifier UE · Used equipment Typical Low $575.44 Median $977.24 Typical High $1,348.96 | Professional | UE · Used equipment | $575.44 | $977.24 | $1,348.96 |
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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Professional | 50 · Both sides | $1,905.46 | $1,905.46 | $1,905.46 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 51 · Multiple procedures | $630.96 | $630.96 | $630.96 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 80 · Assistant surgeon | $251.19 | $251.19 | $251.19 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 81 · Minimal assistant surgeon | $177.83 | $177.83 | $177.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 82 · Assistant surgeon, no resident | $177.83 | $177.83 | $177.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | AS · PA/NP assist | $177.83 | $177.83 | $177.83 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | SH · Second concurrent infusion | $630.96 | $630.96 | $630.96 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | SJ · Third+ concurrent infusion | $630.96 | $630.96 | $630.96 |
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· 27th of 51
$1,175
KS $2,630MS $347
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.