How much rates vary
Facilitymedian $617 · 10th to 90th $589 to $724Professionalmedian $501 · 10th to 90th $234 to $724
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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $870.96 | Professional | None | $707.95 | $707.95 | $870.96 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $524.81 Typical High $660.69 | Professional | UE · Used equipment | $524.81 | $524.81 | $660.69 |
BCBS North Carolina Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $1,000.00 | Facility | None | $831.76 | $831.76 | $1,000.00 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | RR · Rental | $75.86 | $75.86 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Facility Modifier RR · Rental Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | RR · Rental | $61.66 | $61.66 | $61.66 |
Cigna Setting Facility Modifier UE · Used equipment Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | UE · Used equipment | $457.09 | $457.09 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $707.95 | Professional | None | $616.60 | $616.60 | $707.95 |
Cigna Setting Professional Modifier RR · Rental Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | RR · Rental | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | UE · Used equipment | $457.09 | $457.09 | $457.09 |
Medcost Setting Professional Modifier None Typical Low $467.74 Median $501.19 Typical High $501.19 | Professional | None | $467.74 | $501.19 | $501.19 |
Medcost Setting Facility Modifier None Typical Low $275.42 Median $707.95 Typical High $851.14 | Facility | None | $275.42 | $707.95 | $851.14 |
Medcost Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $724.44 | Professional | None | $234.42 | $234.42 | $724.44 |
Medcost Setting Professional Modifier RR · Rental Typical Low $22.91 Median $22.91 Typical High $74.13 | Professional | RR · Rental | $22.91 | $22.91 | $74.13 |
United Setting Professional Modifier None Typical Low $295.12 Median $478.63 Typical High $602.56 | Professional | None | $295.12 | $478.63 | $602.56 |
United Setting Professional Modifier RR · Rental Typical Low $29.51 Median $47.86 Typical High $60.26 | Professional | RR · Rental | $29.51 | $47.86 | $60.26 |
United Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $354.81 Typical High $457.09 | Professional | UE · Used equipment | $218.78 | $354.81 | $457.09 |
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 $346.74 Median $346.74 Typical High $1,000.00 | Professional | 50 · Both sides | $346.74 | $346.74 | $1,000.00 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $117.49 Median $117.49 Typical High $331.13 | Professional | 51 · Multiple procedures | $117.49 | $117.49 | $331.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $46.77 Median $46.77 Typical High $134.90 | Professional | 80 · Assistant surgeon | $46.77 | $46.77 | $134.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $32.36 Median $32.36 Typical High $93.33 | Professional | 81 · Minimal assistant surgeon | $32.36 | $32.36 | $93.33 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $32.36 Median $32.36 Typical High $93.33 | Professional | 82 · Assistant surgeon, no resident | $32.36 | $32.36 | $93.33 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $32.36 Median $32.36 Typical High $93.33 | Professional | AS · PA/NP assist | $32.36 | $32.36 | $93.33 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | SH · Second concurrent infusion | $117.49 | $117.49 | $117.49 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | SJ · Third+ concurrent infusion | $117.49 | $117.49 | $117.49 |
Where North Carolina sits
The same service costs 2.1 times more in Montana than in Illinois. 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· 32nd of 51
$617
MT $1,047IL $490
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.