How much rates vary
Facilitymedian $447 · 10th to 90th $447 to $479Professionalmedian $447 · 10th to 90th $275 to $550
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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $602.56 | Professional | None | $478.63 | $478.63 | $602.56 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $363.08 Median $363.08 Typical High $407.38 | Professional | UE · Used equipment | $363.08 | $363.08 | $407.38 |
Ambetter Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
BCBS North Carolina Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $446.68 Typical High $478.63 | Professional | None | $380.19 | $446.68 | $478.63 |
Medcost Setting Facility Modifier None Typical Low $47.86 Median $478.63 Typical High $549.54 | Facility | None | $47.86 | $478.63 | $549.54 |
Medcost Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Medcost Setting Professional Modifier RR · Rental Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | RR · Rental | $54.95 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $218.78 Median $338.84 Typical High $478.63 | Professional | None | $218.78 | $338.84 | $478.63 |
United Setting Professional Modifier RR · Rental Typical Low $21.88 Median $33.88 Typical High $47.86 | Professional | RR · Rental | $21.88 | $33.88 | $47.86 |
United Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $251.19 Typical High $363.08 | Professional | UE · Used equipment | $162.18 | $251.19 | $363.08 |
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 $275.42 Median $275.42 Typical High $275.42 | Professional | 51 · Multiple procedures | $275.42 | $275.42 | $275.42 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 80 · Assistant surgeon | $109.65 | $109.65 | $109.65 |
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 $275.42 Median $275.42 Typical High $275.42 | Professional | SH · Second concurrent infusion | $275.42 | $275.42 | $275.42 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | SJ · Third+ concurrent infusion | $275.42 | $275.42 | $275.42 |
Where North Carolina sits
The same service costs 11.5 times more in Kansas 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· 16th of 51
$447
KS $871MS $75.86
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.