How much rates vary
Facilitymedian $132 · 10th to 90th $123 to $170Professionalmedian $151 · 10th to 90th $105 to $263
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $173.78 | Professional | None | $100.00 | $151.36 | $173.78 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $75.86 Median $112.20 Typical High $123.03 | Professional | UE · Used equipment | $75.86 | $112.20 | $123.03 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | RR · Rental | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier RR · Rental Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | RR · Rental | $12.30 | $12.30 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $154.88 | Professional | None | $123.03 | $123.03 | $154.88 |
Cigna Setting Professional Modifier RR · Rental Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | RR · Rental | $12.30 | $12.30 | $12.30 |
Medcost Setting Professional Modifier None Typical Low $169.82 Median $186.21 Typical High $186.21 | Professional | None | $169.82 | $186.21 | $186.21 |
Medcost Setting Facility Modifier None Typical Low $100.00 Median $151.36 Typical High $204.17 | Facility | None | $100.00 | $151.36 | $204.17 |
Medcost Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $263.03 | Professional | None | $204.17 | $204.17 | $263.03 |
Medcost Setting Professional Modifier RR · Rental Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | RR · Rental | $23.44 | $23.44 | $23.44 |
United Setting Professional Modifier None Typical Low $81.28 Median $123.03 Typical High $173.78 | Professional | None | $81.28 | $123.03 | $173.78 |
United Setting Professional Modifier RR · Rental Typical Low $8.13 Median $12.30 Typical High $17.38 | Professional | RR · Rental | $8.13 | $12.30 | $17.38 |
United Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $93.33 Typical High $131.83 | Professional | UE · Used equipment | $61.66 | $93.33 | $131.83 |
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 $302.00 Median $302.00 Typical High $302.00 | Professional | 50 · Both sides | $302.00 | $302.00 | $302.00 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 51 · Multiple procedures | $100.00 | $100.00 | $100.00 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 80 · Assistant surgeon | $40.74 | $40.74 | $40.74 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 81 · Minimal assistant surgeon | $28.18 | $28.18 | $28.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 82 · Assistant surgeon, no resident | $28.18 | $28.18 | $28.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | AS · PA/NP assist | $28.18 | $28.18 | $28.18 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | SH · Second concurrent infusion | $100.00 | $100.00 | $100.00 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | SJ · Third+ concurrent infusion | $100.00 | $100.00 | $100.00 |
Where North Carolina sits
The same service costs 3.1 times more in Kansas 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· 25th of 51
$151
KS $324NM $105
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.