How much rates vary
Facilitymedian $33 · 10th to 90th $32 to $39Professionalmedian $33 · 10th to 90th $23 to $45
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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $34.67 Typical High $52.48 | Professional | None | $26.92 | $34.67 | $52.48 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $22.91 Median $26.30 Typical High $33.11 | Professional | UE · Used equipment | $22.91 | $26.30 | $33.11 |
BCBS North Carolina Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $51.29 | Facility | None | $42.66 | $42.66 | $51.29 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | RR · Rental | $4.17 | $4.17 | $4.17 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $39.81 | Professional | None | $33.11 | $33.11 | $39.81 |
Medcost Setting Professional Modifier None Typical Low $27.54 Median $30.20 Typical High $30.20 | Professional | None | $27.54 | $30.20 | $30.20 |
Medcost Setting Facility Modifier None Typical Low $16.22 Median $34.67 Typical High $44.67 | Facility | None | $16.22 | $34.67 | $44.67 |
Medcost Setting Professional Modifier None Typical Low $42.66 Median $44.67 Typical High $44.67 | Professional | None | $42.66 | $44.67 | $44.67 |
Medcost Setting Professional Modifier RR · Rental Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | RR · Rental | $4.47 | $4.47 | $4.47 |
United Setting Professional Modifier None Typical Low $17.38 Median $25.70 Typical High $36.31 | Professional | None | $17.38 | $25.70 | $36.31 |
United Setting Professional Modifier RR · Rental Typical Low $1.78 Median $2.57 Typical High $3.63 | Professional | RR · Rental | $1.78 | $2.57 | $3.63 |
United Setting Professional Modifier UE · Used equipment Typical Low $13.18 Median $19.05 Typical High $27.54 | Professional | UE · Used equipment | $13.18 | $19.05 | $27.54 |
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 $67.61 Median $67.61 Typical High $67.61 | Professional | 50 · Both sides | $67.61 | $67.61 | $67.61 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 51 · Multiple procedures | $22.39 | $22.39 | $22.39 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 80 · Assistant surgeon | $8.91 | $8.91 | $8.91 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 81 · Minimal assistant surgeon | $6.31 | $6.31 | $6.31 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 82 · Assistant surgeon, no resident | $6.31 | $6.31 | $6.31 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | AS · PA/NP assist | $6.31 | $6.31 | $6.31 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | SH · Second concurrent infusion | $22.39 | $22.39 | $22.39 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | SJ · Third+ concurrent infusion | $22.39 | $22.39 | $22.39 |
Where North Carolina sits
The same service costs 2.3 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· 34th of 51
$33.11
HI $54.95NM $23.44
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.