How much rates vary
Facilitymedian $45 · 10th to 90th $43 to $50Professionalmedian $47 · 10th to 90th $33 to $69
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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $60.26 | Professional | None | $46.77 | $46.77 | $60.26 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $34.67 Median $34.67 Typical High $41.69 | Professional | UE · Used equipment | $34.67 | $34.67 | $41.69 |
BCBS North Carolina Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $79.43 | Facility | None | $66.07 | $66.07 | $79.43 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | RR · Rental | $6.31 | $6.31 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $48.98 | Professional | None | $42.66 | $42.66 | $48.98 |
Medcost Setting Professional Modifier None Typical Low $43.65 Median $46.77 Typical High $46.77 | Professional | None | $43.65 | $46.77 | $46.77 |
Medcost Setting Facility Modifier None Typical Low $25.70 Median $46.77 Typical High $66.07 | Facility | None | $25.70 | $46.77 | $66.07 |
Medcost Setting Professional Modifier None Typical Low $66.07 Median $69.18 Typical High $69.18 | Professional | None | $66.07 | $69.18 | $69.18 |
Medcost Setting Professional Modifier RR · Rental Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | RR · Rental | $7.41 | $7.41 | $7.41 |
United Setting Professional Modifier None Typical Low $25.12 Median $36.31 Typical High $50.12 | Professional | None | $25.12 | $36.31 | $50.12 |
United Setting Professional Modifier RR · Rental Typical Low $2.57 Median $3.89 Typical High $5.13 | Professional | RR · Rental | $2.57 | $3.89 | $5.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $19.05 Median $27.54 Typical High $37.15 | Professional | UE · Used equipment | $19.05 | $27.54 | $37.15 |
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 $104.71 Median $104.71 Typical High $104.71 | Professional | 50 · Both sides | $104.71 | $104.71 | $104.71 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 51 · Multiple procedures | $34.67 | $34.67 | $34.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 80 · Assistant surgeon | $14.13 | $14.13 | $14.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 81 · Minimal assistant surgeon | $9.77 | $9.77 | $9.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 82 · Assistant surgeon, no resident | $9.77 | $9.77 | $9.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | AS · PA/NP assist | $9.77 | $9.77 | $9.77 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | SH · Second concurrent infusion | $34.67 | $34.67 | $34.67 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | SJ · Third+ concurrent infusion | $34.67 | $34.67 | $34.67 |
Where North Carolina sits
The same service costs 5.0 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· 30th of 51
$46.77
HI $162IL $32.36
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.