How much rates vary
Facilitymedian $759 · 10th to 90th $646 to $1,072Professionalmedian $933 · 10th to 90th $631 to $1,413
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 $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,548.82 | Professional | None | $1,071.52 | $1,071.52 | $1,548.82 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $794.33 Median $794.33 Typical High $1,000.00 | Professional | UE · Used equipment | $794.33 | $794.33 | $1,000.00 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | RR · Rental | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $691.83 | Professional | None | $549.54 | $645.65 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $870.96 Median $933.25 Typical High $933.25 | Professional | None | $870.96 | $933.25 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $512.86 Median $1,071.52 Typical High $1,348.96 | Facility | None | $512.86 | $1,071.52 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $1,348.96 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,348.96 | $1,412.54 | $1,412.54 |
Medcost Setting Professional Modifier RR · Rental Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | RR · Rental | $141.25 | $141.25 | $141.25 |
United Setting Professional Modifier None Typical Low $549.54 Median $794.33 Typical High $1,122.02 | Professional | None | $549.54 | $794.33 | $1,122.02 |
United Setting Professional Modifier RR · Rental Typical Low $54.95 Median $79.43 Typical High $112.20 | Professional | RR · Rental | $54.95 | $79.43 | $112.20 |
United Setting Professional Modifier UE · Used equipment Typical Low $416.87 Median $588.84 Typical High $831.76 | Professional | UE · Used equipment | $416.87 | $588.84 | $831.76 |
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 $2,137.96 Median $2,137.96 Typical High $2,137.96 | Professional | 50 · Both sides | $2,137.96 | $2,137.96 | $2,137.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 51 · Multiple procedures | $707.95 | $707.95 | $707.95 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 80 · Assistant surgeon | $281.84 | $281.84 | $281.84 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 81 · Minimal assistant surgeon | $199.53 | $199.53 | $199.53 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 82 · Assistant surgeon, no resident | $199.53 | $199.53 | $199.53 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | AS · PA/NP assist | $199.53 | $199.53 | $199.53 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | SH · Second concurrent infusion | $707.95 | $707.95 | $707.95 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | SJ · Third+ concurrent infusion | $707.95 | $707.95 | $707.95 |
Where North Carolina sits
The same service costs 8.7 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· 27th of 51
$933
ND $1,738MS $200
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.