How much rates vary
Facilitymedian $38 · 10th to 90th $38 to $45Professionalmedian $38 · 10th to 90th $28 to $52
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 $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $56.23 | Professional | None | $40.74 | $40.74 | $56.23 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $30.20 Typical High $38.02 | Professional | UE · Used equipment | $30.20 | $30.20 | $38.02 |
BCBS North Carolina Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $60.26 | Facility | None | $50.12 | $50.12 | $60.26 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | RR · Rental | $4.90 | $4.90 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $45.71 | Professional | None | $38.02 | $38.02 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $33.11 Median $35.48 Typical High $35.48 | Professional | None | $33.11 | $35.48 | $35.48 |
Medcost Setting Facility Modifier None Typical Low $19.05 Median $40.74 Typical High $52.48 | Facility | None | $19.05 | $40.74 | $52.48 |
Medcost Setting Professional Modifier None Typical Low $50.12 Median $52.48 Typical High $52.48 | Professional | None | $50.12 | $52.48 | $52.48 |
Medcost Setting Professional Modifier RR · Rental Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | RR · Rental | $5.25 | $5.25 | $5.25 |
United Setting Professional Modifier None Typical Low $20.89 Median $30.20 Typical High $42.66 | Professional | None | $20.89 | $30.20 | $42.66 |
United Setting Professional Modifier RR · Rental Typical Low $2.04 Median $3.02 Typical High $4.27 | Professional | RR · Rental | $2.04 | $3.02 | $4.27 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $22.39 Typical High $31.62 | Professional | UE · Used equipment | $15.49 | $22.39 | $31.62 |
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 $79.43 Median $79.43 Typical High $79.43 | Professional | 50 · Both sides | $79.43 | $79.43 | $79.43 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 51 · Multiple procedures | $26.30 | $26.30 | $26.30 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 80 · Assistant surgeon | $10.47 | $10.47 | $10.47 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 81 · Minimal assistant surgeon | $7.41 | $7.41 | $7.41 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 82 · Assistant surgeon, no resident | $7.41 | $7.41 | $7.41 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | AS · PA/NP assist | $7.41 | $7.41 | $7.41 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | SH · Second concurrent infusion | $26.30 | $26.30 | $26.30 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | SJ · Third+ concurrent infusion | $26.30 | $26.30 | $26.30 |
Where North Carolina sits
The same service costs 2.2 times more in Hawaii than in Illinois. 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· 41st of 51
$38.02
HI $63.10IL $28.84
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.