How much rates vary
Facilitymedian $331 · 10th to 90th $263 to $347Professionalmedian $331 · 10th to 90th $191 to $468
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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $426.58 | Professional | None | $331.13 | $331.13 | $426.58 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $245.47 Median $245.47 Typical High $316.23 | Professional | UE · Used equipment | $245.47 | $245.47 | $316.23 |
BCBS North Carolina Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $537.03 | Facility | None | $446.68 | $446.68 | $537.03 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | RR · Rental | $43.65 | $43.65 | $43.65 |
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 Facility Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | RR · Rental | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $331.13 | Professional | None | $281.84 | $331.13 | $331.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | RR · Rental | $33.11 | $33.11 | $33.11 |
Medcost Setting Professional Modifier None Typical Low $295.12 Median $316.23 Typical High $316.23 | Professional | None | $295.12 | $316.23 | $316.23 |
Medcost Setting Facility Modifier None Typical Low $173.78 Median $331.13 Typical High $398.11 | Facility | None | $173.78 | $331.13 | $398.11 |
Medcost Setting Professional Modifier None Typical Low $446.68 Median $467.74 Typical High $467.74 | Professional | None | $446.68 | $467.74 | $467.74 |
Medcost Setting Professional Modifier RR · Rental Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | RR · Rental | $46.77 | $46.77 | $46.77 |
United Setting Professional Modifier None Typical Low $181.97 Median $257.04 Typical High $331.13 | Professional | None | $181.97 | $257.04 | $331.13 |
United Setting Professional Modifier RR · Rental Typical Low $18.20 Median $26.30 Typical High $38.02 | Professional | RR · Rental | $18.20 | $26.30 | $38.02 |
United Setting Professional Modifier UE · Used equipment Typical Low $134.90 Median $194.98 Typical High $245.47 | Professional | UE · Used equipment | $134.90 | $194.98 | $245.47 |
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 $707.95 Median $707.95 Typical High $707.95 | Professional | 50 · Both sides | $707.95 | $707.95 | $707.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 51 · Multiple procedures | $234.42 | $234.42 | $234.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 80 · Assistant surgeon | $95.50 | $95.50 | $95.50 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 81 · Minimal assistant surgeon | $66.07 | $66.07 | $66.07 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 82 · Assistant surgeon, no resident | $66.07 | $66.07 | $66.07 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | AS · PA/NP assist | $66.07 | $66.07 | $66.07 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | SH · Second concurrent infusion | $234.42 | $234.42 | $234.42 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | SJ · Third+ concurrent infusion | $234.42 | $234.42 | $234.42 |
Where North Carolina sits
The same service costs 2.4 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
$331
HI $550UT $229
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.