How much rates vary
Facilitymedian $331 · 10th to 90th $302 to $363Professionalmedian $339 · 10th to 90th $209 to $537
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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $467.74 | Professional | None | $363.08 | $363.08 | $467.74 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $269.15 Median $269.15 Typical High $331.13 | Professional | UE · Used equipment | $269.15 | $269.15 | $331.13 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | RR · Rental | $47.86 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $331.13 Typical High $331.13 | Professional | None | $275.42 | $331.13 | $331.13 |
Medcost Setting Professional Modifier None Typical Low $338.84 Median $363.08 Typical High $363.08 | Professional | None | $338.84 | $363.08 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $363.08 Typical High $436.52 | Facility | None | $199.53 | $363.08 | $436.52 |
Medcost Setting Professional Modifier None Typical Low $512.86 Median $537.03 Typical High $537.03 | Professional | None | $512.86 | $537.03 | $537.03 |
Medcost Setting Professional Modifier RR · Rental Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | RR · Rental | $53.70 | $53.70 | $53.70 |
United Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $371.54 | Professional | None | $190.55 | $281.84 | $371.54 |
United Setting Professional Modifier RR · Rental Typical Low $20.89 Median $29.51 Typical High $42.66 | Professional | RR · Rental | $20.89 | $29.51 | $42.66 |
United Setting Professional Modifier UE · Used equipment Typical Low $141.25 Median $213.80 Typical High $281.84 | Professional | UE · Used equipment | $141.25 | $213.80 | $281.84 |
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 $812.83 Median $812.83 Typical High $812.83 | Professional | 50 · Both sides | $812.83 | $812.83 | $812.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 51 · Multiple procedures | $269.15 | $269.15 | $269.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 80 · Assistant surgeon | $109.65 | $109.65 | $109.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 81 · Minimal assistant surgeon | $75.86 | $75.86 | $75.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 82 · Assistant surgeon, no resident | $75.86 | $75.86 | $75.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | AS · PA/NP assist | $75.86 | $75.86 | $75.86 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | SH · Second concurrent infusion | $269.15 | $269.15 | $269.15 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | SJ · Third+ concurrent infusion | $269.15 | $269.15 | $269.15 |
Where North Carolina sits
The same service costs 2.7 times more in Hawaii 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· 37th of 51
$331
HI $631IL $234
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.