How much rates vary
Facilitymedian $513 · 10th to 90th $513 to $646Professionalmedian $513 · 10th to 90th $380 to $692
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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $741.31 | Professional | None | $588.84 | $588.84 | $741.31 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $446.68 Median $446.68 Typical High $549.54 | Professional | UE · Used equipment | $446.68 | $446.68 | $549.54 |
BCBS North Carolina Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $831.76 | Facility | None | $691.83 | $691.83 | $831.76 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | RR · Rental | $69.18 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Facility Modifier RR · Rental Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | RR · Rental | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier UE · Used equipment Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | UE · Used equipment | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $676.08 | Professional | None | $512.86 | $512.86 | $676.08 |
Cigna Setting Professional Modifier RR · Rental Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | RR · Rental | $51.29 | $51.29 | $51.29 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | UE · Used equipment | $389.05 | $389.05 | $389.05 |
Medcost Setting Professional Modifier None Typical Low $457.09 Median $489.78 Typical High $489.78 | Professional | None | $457.09 | $489.78 | $489.78 |
Medcost Setting Facility Modifier None Typical Low $269.15 Median $588.84 Typical High $707.95 | Facility | None | $269.15 | $588.84 | $707.95 |
Medcost Setting Professional Modifier None Typical Low $630.96 Median $630.96 Typical High $691.83 | Professional | None | $630.96 | $630.96 | $691.83 |
Medcost Setting Professional Modifier RR · Rental Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | RR · Rental | $63.10 | $63.10 | $63.10 |
United Setting Professional Modifier None Typical Low $288.40 Median $426.58 Typical High $602.56 | Professional | None | $288.40 | $426.58 | $602.56 |
United Setting Professional Modifier RR · Rental Typical Low $28.84 Median $42.66 Typical High $60.26 | Professional | RR · Rental | $28.84 | $42.66 | $60.26 |
United Setting Professional Modifier UE · Used equipment Typical Low $213.80 Median $323.59 Typical High $457.09 | Professional | UE · Used equipment | $213.80 | $323.59 | $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 $933.25 Median $933.25 Typical High $933.25 | Professional | 50 · Both sides | $933.25 | $933.25 | $933.25 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | 51 · Multiple procedures | $316.23 | $316.23 | $316.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 80 · Assistant surgeon | $125.89 | $125.89 | $125.89 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 81 · Minimal assistant surgeon | $87.10 | $87.10 | $87.10 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 82 · Assistant surgeon, no resident | $87.10 | $87.10 | $87.10 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | AS · PA/NP assist | $87.10 | $87.10 | $87.10 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | SH · Second concurrent infusion | $316.23 | $316.23 | $316.23 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | SJ · Third+ concurrent infusion | $316.23 | $316.23 | $316.23 |
Where North Carolina sits
The same service costs 2.0 times more in Hawaii than in Arizona. 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· 44th of 51
$513
HI $891AZ $437
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.