How much rates vary
Facilitymedian $35 · 10th to 90th $35 to $41Professionalmedian $38 · 10th to 90th $26 to $58
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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $50.12 | Professional | None | $26.92 | $38.90 | $50.12 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $20.42 Median $28.84 Typical High $35.48 | Professional | UE · Used equipment | $20.42 | $28.84 | $35.48 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | RR · Rental | $5.13 | $5.13 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | None | $34.67 | $34.67 | $40.74 |
Medcost Setting Professional Modifier None Typical Low $35.48 Median $38.02 Typical High $38.02 | Professional | None | $35.48 | $38.02 | $38.02 |
Medcost Setting Facility Modifier None Typical Low $20.89 Median $38.90 Typical High $57.54 | Facility | None | $20.89 | $38.90 | $57.54 |
Medcost Setting Professional Modifier None Typical Low $54.95 Median $57.54 Typical High $57.54 | Professional | None | $54.95 | $57.54 | $57.54 |
Medcost Setting Professional Modifier RR · Rental Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | RR · Rental | $5.75 | $5.75 | $5.75 |
United Setting Professional Modifier None Typical Low $21.38 Median $31.62 Typical High $44.67 | Professional | None | $21.38 | $31.62 | $44.67 |
United Setting Professional Modifier RR · Rental Typical Low $2.14 Median $3.16 Typical High $4.47 | Professional | RR · Rental | $2.14 | $3.16 | $4.47 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.85 Median $23.44 Typical High $33.88 | Professional | UE · Used equipment | $15.85 | $23.44 | $33.88 |
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 $85.11 Median $85.11 Typical High $85.11 | Professional | 50 · Both sides | $85.11 | $85.11 | $85.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 51 · Multiple procedures | $28.84 | $28.84 | $28.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | 80 · Assistant surgeon | $11.48 | $11.48 | $11.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 81 · Minimal assistant surgeon | $7.94 | $7.94 | $7.94 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 82 · Assistant surgeon, no resident | $7.94 | $7.94 | $7.94 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | AS · PA/NP assist | $7.94 | $7.94 | $7.94 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | SH · Second concurrent infusion | $28.84 | $28.84 | $28.84 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | SJ · Third+ concurrent infusion | $28.84 | $28.84 | $28.84 |
Where North Carolina sits
The same service costs 2.8 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· 32nd of 51
$37.15
HI $70.79NM $25.70
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.