How much rates vary
Facilitymedian $282 · 10th to 90th $126 to $427Professionalmedian $372 · 10th to 90th $251 to $562
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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $426.58 Typical High $537.03 | Professional | None | $323.59 | $426.58 | $537.03 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $245.47 Median $323.59 Typical High $398.11 | Professional | UE · Used equipment | $245.47 | $323.59 | $398.11 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | RR · Rental | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $398.11 | Facility | None | $281.84 | $281.84 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $281.84 Typical High $426.58 | Professional | None | $239.88 | $281.84 | $426.58 |
Medcost Setting Professional Modifier None Typical Low $346.74 Median $371.54 Typical High $371.54 | Professional | None | $346.74 | $371.54 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $426.58 Typical High $512.86 | Facility | None | $125.89 | $426.58 | $512.86 |
Medcost Setting Professional Modifier None Typical Low $537.03 Median $562.34 Typical High $562.34 | Professional | None | $537.03 | $562.34 | $562.34 |
Medcost Setting Professional Modifier RR · Rental Typical Low $17.78 Median $17.78 Typical High $44.67 | Professional | RR · Rental | $17.78 | $17.78 | $44.67 |
United Setting Professional Modifier None Typical Low $218.78 Median $316.23 Typical High $446.68 | Professional | None | $218.78 | $316.23 | $446.68 |
United Setting Professional Modifier RR · Rental Typical Low $21.88 Median $31.62 Typical High $44.67 | Professional | RR · Rental | $21.88 | $31.62 | $44.67 |
United Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $234.42 Typical High $338.84 | Professional | UE · Used equipment | $165.96 | $234.42 | $338.84 |
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 $831.76 Median $831.76 Typical High $831.76 | Professional | 50 · Both sides | $831.76 | $831.76 | $831.76 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 51 · Multiple procedures | $281.84 | $281.84 | $281.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 80 · Assistant surgeon | $112.20 | $112.20 | $112.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 81 · Minimal assistant surgeon | $77.62 | $77.62 | $77.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 82 · Assistant surgeon, no resident | $77.62 | $77.62 | $77.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | AS · PA/NP assist | $77.62 | $77.62 | $77.62 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | SH · Second concurrent infusion | $281.84 | $281.84 | $281.84 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | SJ · Third+ concurrent infusion | $281.84 | $281.84 | $281.84 |
Where North Carolina sits
The same service costs 8.9 times more in North Dakota than in Mississippi. 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
$363
ND $708MS $79.43
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.