How much rates vary
Facilitymedian $135 · 10th to 90th $132 to $170Professionalmedian $132 · 10th to 90th $98 to $186
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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $144.54 Typical High $181.97 | Professional | None | $134.90 | $144.54 | $181.97 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $100.00 Median $109.65 Typical High $131.83 | Professional | UE · Used equipment | $100.00 | $109.65 | $131.83 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | RR · Rental | $17.78 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $162.18 | Facility | None | $131.83 | $131.83 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $169.82 | Professional | None | $131.83 | $131.83 | $169.82 |
Medcost Setting Facility Modifier None Typical Low $134.90 Median $144.54 Typical High $190.55 | Facility | None | $134.90 | $144.54 | $190.55 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Medcost Setting Professional Modifier RR · Rental Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | RR · Rental | $18.62 | $18.62 | $18.62 |
United Setting Professional Modifier None Typical Low $70.79 Median $109.65 Typical High $151.36 | Professional | None | $70.79 | $109.65 | $151.36 |
United Setting Professional Modifier RR · Rental Typical Low $7.08 Median $10.96 Typical High $15.14 | Professional | RR · Rental | $7.08 | $10.96 | $15.14 |
United Setting Professional Modifier UE · Used equipment Typical Low $53.70 Median $81.28 Typical High $114.82 | Professional | UE · Used equipment | $53.70 | $81.28 | $114.82 |
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 $281.84 Median $281.84 Typical High $281.84 | Professional | 50 · Both sides | $281.84 | $281.84 | $281.84 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 51 · Multiple procedures | $93.33 | $93.33 | $93.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 80 · Assistant surgeon | $37.15 | $37.15 | $37.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 81 · Minimal assistant surgeon | $26.30 | $26.30 | $26.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 82 · Assistant surgeon, no resident | $26.30 | $26.30 | $26.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | AS · PA/NP assist | $26.30 | $26.30 | $26.30 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | SH · Second concurrent infusion | $93.33 | $93.33 | $93.33 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | SJ · Third+ concurrent infusion | $93.33 | $93.33 | $93.33 |
Where North Carolina sits
The same service costs 2.6 times more in Hawaii 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· 40th of 51
$132
HI $245NM $95.50
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.