How much rates vary
Facilitymedian $427 · 10th to 90th $407 to $646Professionalmedian $562 · 10th to 90th $339 to $891
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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $602.56 Typical High $977.24 | Professional | None | $524.81 | $602.56 | $977.24 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $457.09 Median $457.09 Typical High $549.54 | Professional | UE · Used equipment | $457.09 | $457.09 | $549.54 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | RR · Rental | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $436.52 | Professional | None | $346.74 | $407.38 | $436.52 |
Medcost Setting Professional Modifier None Typical Low $562.34 Median $602.56 Typical High $602.56 | Professional | None | $562.34 | $602.56 | $602.56 |
Medcost Setting Facility Modifier None Typical Low $331.13 Median $602.56 Typical High $724.44 | Facility | None | $331.13 | $602.56 | $724.44 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $891.25 Typical High $891.25 | Professional | None | $851.14 | $891.25 | $891.25 |
Medcost Setting Professional Modifier RR · Rental Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | RR · Rental | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $302.00 Median $467.74 Typical High $616.60 | Professional | None | $302.00 | $467.74 | $616.60 |
United Setting Professional Modifier RR · Rental Typical Low $33.88 Median $48.98 Typical High $70.79 | Professional | RR · Rental | $33.88 | $48.98 | $70.79 |
United Setting Professional Modifier UE · Used equipment Typical Low $223.87 Median $354.81 Typical High $467.74 | Professional | UE · Used equipment | $223.87 | $354.81 | $467.74 |
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | 50 · Both sides | $1,348.96 | $1,348.96 | $1,348.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | 51 · Multiple procedures | $446.68 | $446.68 | $446.68 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 80 · Assistant surgeon | $177.83 | $177.83 | $177.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 81 · Minimal assistant surgeon | $125.89 | $125.89 | $125.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 82 · Assistant surgeon, no resident | $125.89 | $125.89 | $125.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | AS · PA/NP assist | $125.89 | $125.89 | $125.89 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | SH · Second concurrent infusion | $446.68 | $446.68 | $446.68 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | SJ · Third+ concurrent infusion | $446.68 | $446.68 | $446.68 |
Where North Carolina sits
The same service costs 3.0 times more in Hawaii 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· 27th of 51
$550
HI $1,047NM $347
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.