How much rates vary
Facilitymedian $15 · 10th to 90th $14 to $16Professionalmedian $15 · 10th to 90th $10 to $21
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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $19.95 | Professional | None | $15.14 | $15.14 | $19.95 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $11.22 Median $11.22 Typical High $14.45 | Professional | UE · Used equipment | $11.22 | $11.22 | $14.45 |
BCBS North Carolina Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $24.55 | Facility | None | $20.42 | $20.42 | $24.55 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | RR · Rental | $1.95 | $1.95 | $1.95 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $16.22 | Professional | None | $13.80 | $13.80 | $16.22 |
Medcost Setting Professional Modifier None Typical Low $13.18 Median $14.45 Typical High $14.45 | Professional | None | $13.18 | $14.45 | $14.45 |
Medcost Setting Facility Modifier None Typical Low $7.76 Median $15.14 Typical High $20.42 | Facility | None | $7.76 | $15.14 | $20.42 |
Medcost Setting Professional Modifier None Typical Low $20.42 Median $21.38 Typical High $21.38 | Professional | None | $20.42 | $21.38 | $21.38 |
Medcost Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | RR · Rental | $2.14 | $2.14 | $2.14 |
United Setting Professional Modifier None Typical Low $8.32 Median $12.30 Typical High $17.38 | Professional | None | $8.32 | $12.30 | $17.38 |
United Setting Professional Modifier RR · Rental Typical Low $0.81 Median $1.23 Typical High $1.74 | Professional | RR · Rental | $0.81 | $1.23 | $1.74 |
United Setting Professional Modifier UE · Used equipment Typical Low $6.17 Median $9.12 Typical High $13.18 | Professional | UE · Used equipment | $6.17 | $9.12 | $13.18 |
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 $32.36 Median $32.36 Typical High $32.36 | Professional | 50 · Both sides | $32.36 | $32.36 | $32.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 51 · Multiple procedures | $10.72 | $10.72 | $10.72 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | 80 · Assistant surgeon | $4.27 | $4.27 | $4.27 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | 81 · Minimal assistant surgeon | $3.02 | $3.02 | $3.02 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | 82 · Assistant surgeon, no resident | $3.02 | $3.02 | $3.02 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | AS · PA/NP assist | $3.02 | $3.02 | $3.02 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | SH · Second concurrent infusion | $10.72 | $10.72 | $10.72 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | SJ · Third+ concurrent infusion | $10.72 | $10.72 | $10.72 |
Where North Carolina sits
The same service costs 2.5 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
$14.79
HI $25.70NM $10.47
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.