How much rates vary
Facilitymedian $1,479 · 10th to 90th $676 to $1,778Professionalmedian $1,479 · 10th to 90th $891 to $1,778
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 $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,819.70 | Professional | None | $1,479.11 | $1,479.11 | $1,819.70 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,122.02 Median $1,122.02 Typical High $1,348.96 | Professional | UE · Used equipment | $1,122.02 | $1,122.02 | $1,348.96 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,089.30 | Facility | None | $1,737.80 | $1,737.80 | $2,089.30 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | RR · Rental | $173.78 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $1,819.70 Typical High $3,090.30 | Professional | None | $169.82 | $1,819.70 | $3,090.30 |
Medcost Setting Professional Modifier None Typical Low $1,148.15 Median $1,230.27 Typical High $1,230.27 | Professional | None | $1,148.15 | $1,230.27 | $1,230.27 |
Medcost Setting Facility Modifier None Typical Low $676.08 Median $1,479.11 Typical High $1,778.28 | Facility | None | $676.08 | $1,479.11 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,778.28 | Professional | None | $1,548.82 | $1,548.82 | $1,778.28 |
Medcost Setting Professional Modifier RR · Rental Typical Low $154.88 Median $154.88 Typical High $158.49 | Professional | RR · Rental | $154.88 | $154.88 | $158.49 |
United Setting Professional Modifier None Typical Low $724.44 Median $1,071.52 Typical High $1,548.82 | Professional | None | $724.44 | $1,071.52 | $1,548.82 |
United Setting Professional Modifier RR · Rental Typical Low $72.44 Median $107.15 Typical High $154.88 | Professional | RR · Rental | $72.44 | $107.15 | $154.88 |
United Setting Professional Modifier UE · Used equipment Typical Low $549.54 Median $812.83 Typical High $1,148.15 | Professional | UE · Used equipment | $549.54 | $812.83 | $1,148.15 |
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 $2,344.23 Median $2,344.23 Typical High $2,344.23 | Professional | 50 · Both sides | $2,344.23 | $2,344.23 | $2,344.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 51 · Multiple procedures | $776.25 | $776.25 | $776.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 80 · Assistant surgeon | $309.03 | $309.03 | $309.03 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 81 · Minimal assistant surgeon | $218.78 | $218.78 | $218.78 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 82 · Assistant surgeon, no resident | $218.78 | $218.78 | $218.78 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | AS · PA/NP assist | $218.78 | $218.78 | $218.78 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | SH · Second concurrent infusion | $776.25 | $776.25 | $776.25 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | SJ · Third+ concurrent infusion | $776.25 | $776.25 | $776.25 |
Where North Carolina sits
The same service costs 10.5 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· 30th of 51
$1,479
ND $2,455MS $234
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.