How much rates vary
Facilitymedian $95 · 10th to 90th $85 to $102Professionalmedian $95 · 10th to 90th $62 to $112
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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $128.82 | Professional | None | $102.33 | $102.33 | $128.82 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $77.62 Median $77.62 Typical High $95.50 | Professional | UE · Used equipment | $77.62 | $77.62 | $95.50 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | RR · Rental | $12.02 | $12.02 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier RR · Rental Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | RR · Rental | $9.77 | $9.77 | $9.77 |
Cigna Setting Facility Modifier UE · Used equipment Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | UE · Used equipment | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $107.15 | Professional | None | $95.50 | $95.50 | $107.15 |
Cigna Setting Professional Modifier RR · Rental Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | RR · Rental | $9.77 | $9.77 | $9.77 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | UE · Used equipment | $72.44 | $72.44 | $72.44 |
Medcost Setting Professional Modifier None Typical Low $72.44 Median $79.43 Typical High $79.43 | Professional | None | $72.44 | $79.43 | $79.43 |
Medcost Setting Facility Modifier None Typical Low $42.66 Median $102.33 Typical High $123.03 | Facility | None | $42.66 | $102.33 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $112.20 | Professional | None | $100.00 | $100.00 | $112.20 |
Medcost Setting Professional Modifier RR · Rental Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | RR · Rental | $11.75 | $11.75 | $11.75 |
United Setting Professional Modifier None Typical Low $45.71 Median $72.44 Typical High $95.50 | Professional | None | $45.71 | $72.44 | $95.50 |
United Setting Professional Modifier RR · Rental Typical Low $4.68 Median $7.24 Typical High $9.55 | Professional | RR · Rental | $4.68 | $7.24 | $9.55 |
United Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $53.70 Typical High $72.44 | Professional | UE · Used equipment | $34.67 | $53.70 | $72.44 |
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 $151.36 Median $151.36 Typical High $151.36 | Professional | 50 · Both sides | $151.36 | $151.36 | $151.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 51 · Multiple procedures | $50.12 | $50.12 | $50.12 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 80 · Assistant surgeon | $20.42 | $20.42 | $20.42 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 81 · Minimal assistant surgeon | $14.13 | $14.13 | $14.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 82 · Assistant surgeon, no resident | $14.13 | $14.13 | $14.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | AS · PA/NP assist | $14.13 | $14.13 | $14.13 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | SH · Second concurrent infusion | $50.12 | $50.12 | $50.12 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | SJ · Third+ concurrent infusion | $50.12 | $50.12 | $50.12 |
Where North Carolina sits
The same service costs 2.3 times more in Hawaii than in Utah. 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· 31st of 51
$95.50
HI $174UT $74.13
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.