How much rates vary
Facilitymedian $457 · 10th to 90th $427 to $501Professionalmedian $501 · 10th to 90th $275 to $851
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 $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $501.19 Typical High $616.60 | Professional | None | $338.84 | $501.19 | $616.60 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $251.19 Median $380.19 Typical High $467.74 | Professional | UE · Used equipment | $251.19 | $380.19 | $467.74 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | RR · Rental | $69.18 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $457.09 Typical High $457.09 | Professional | None | $389.05 | $457.09 | $457.09 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $562.34 Typical High $562.34 | Professional | None | $524.81 | $562.34 | $562.34 |
Medcost Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $602.56 | Facility | None | $309.03 | $501.19 | $602.56 |
Medcost Setting Professional Modifier None Typical Low $794.33 Median $851.14 Typical High $851.14 | Professional | None | $794.33 | $851.14 | $851.14 |
Medcost Setting Professional Modifier RR · Rental Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | RR · Rental | $85.11 | $85.11 | $85.11 |
United Setting Professional Modifier None Typical Low $245.47 Median $436.52 Typical High $575.44 | Professional | None | $245.47 | $436.52 | $575.44 |
United Setting Professional Modifier RR · Rental Typical Low $28.84 Median $43.65 Typical High $61.66 | Professional | RR · Rental | $28.84 | $43.65 | $61.66 |
United Setting Professional Modifier UE · Used equipment Typical Low $181.97 Median $331.13 Typical High $436.52 | Professional | UE · Used equipment | $181.97 | $331.13 | $436.52 |
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 50 · Both sides | $1,258.93 | $1,258.93 | $1,258.93 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | 51 · Multiple procedures | $416.87 | $416.87 | $416.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 80 · Assistant surgeon | $169.82 | $169.82 | $169.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 81 · Minimal assistant surgeon | $117.49 | $117.49 | $117.49 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 82 · Assistant surgeon, no resident | $117.49 | $117.49 | $117.49 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | AS · PA/NP assist | $117.49 | $117.49 | $117.49 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | SH · Second concurrent infusion | $416.87 | $416.87 | $416.87 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | SJ · Third+ concurrent infusion | $416.87 | $416.87 | $416.87 |
Where North Carolina sits
The same service costs 2.9 times more in Hawaii than in Montana. 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· 28th of 51
$501
HI $851MT $295
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.