How much rates vary
Facilitymedian $25 · 10th to 90th $25 to $41Professionalmedian $32 · 10th to 90th $24 to $44
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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $46.77 | Professional | None | $37.15 | $37.15 | $46.77 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $27.54 Typical High $34.67 | Professional | UE · Used equipment | $27.54 | $27.54 | $34.67 |
BCBS North Carolina Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $52.48 | Facility | None | $43.65 | $43.65 | $52.48 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | RR · Rental | $4.37 | $4.37 | $4.37 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $42.66 | Professional | None | $24.55 | $24.55 | $42.66 |
Medcost Setting Professional Modifier None Typical Low $28.18 Median $30.90 Typical High $30.90 | Professional | None | $28.18 | $30.90 | $30.90 |
Medcost Setting Facility Modifier None Typical Low $16.60 Median $37.15 Typical High $44.67 | Facility | None | $16.60 | $37.15 | $44.67 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $43.65 | Professional | None | $39.81 | $39.81 | $43.65 |
Medcost Setting Professional Modifier RR · Rental Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | RR · Rental | $3.98 | $3.98 | $3.98 |
United Setting Professional Modifier None Typical Low $18.20 Median $26.92 Typical High $38.02 | Professional | None | $18.20 | $26.92 | $38.02 |
United Setting Professional Modifier RR · Rental Typical Low $1.82 Median $2.69 Typical High $3.80 | Professional | RR · Rental | $1.82 | $2.69 | $3.80 |
United Setting Professional Modifier UE · Used equipment Typical Low $13.49 Median $20.42 Typical High $28.84 | Professional | UE · Used equipment | $13.49 | $20.42 | $28.84 |
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 $60.26 Median $60.26 Typical High $60.26 | Professional | 50 · Both sides | $60.26 | $60.26 | $60.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 51 · Multiple procedures | $19.95 | $19.95 | $19.95 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 80 · Assistant surgeon | $7.94 | $7.94 | $7.94 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 81 · Minimal assistant surgeon | $5.62 | $5.62 | $5.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 82 · Assistant surgeon, no resident | $5.62 | $5.62 | $5.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | AS · PA/NP assist | $5.62 | $5.62 | $5.62 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | SH · Second concurrent infusion | $19.95 | $19.95 | $19.95 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | SJ · Third+ concurrent infusion | $19.95 | $19.95 | $19.95 |
Where North Carolina sits
The same service costs 10.0 times more in Kansas than in New Mexico. 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
$30.90
KS $240NM $23.99
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.