How much rates vary
Facilitymedian $81 · 10th to 90th $81 to $110Professionalmedian $98 · 10th to 90th $60 to $234
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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $97.72 Typical High $123.03 | Professional | None | $57.54 | $97.72 | $123.03 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $43.65 Median $74.13 Typical High $79.43 | Professional | UE · Used equipment | $43.65 | $74.13 | $79.43 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | RR · Rental | $13.18 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $107.15 | Facility | None | $81.28 | $81.28 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $109.65 | Professional | None | $81.28 | $81.28 | $109.65 |
Medcost Setting Professional Modifier None Typical Low $97.72 Median $107.15 Typical High $107.15 | Professional | None | $97.72 | $107.15 | $107.15 |
Medcost Setting Facility Modifier None Typical Low $57.54 Median $97.72 Typical High $186.21 | Facility | None | $57.54 | $97.72 | $186.21 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $234.42 Typical High $234.42 | Professional | None | $125.89 | $234.42 | $234.42 |
Medcost Setting Professional Modifier RR · Rental Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | RR · Rental | $15.85 | $15.85 | $15.85 |
United Setting Professional Modifier None Typical Low $53.70 Median $83.18 Typical High $117.49 | Professional | None | $53.70 | $83.18 | $117.49 |
United Setting Professional Modifier RR · Rental Typical Low $5.37 Median $8.32 Typical High $11.75 | Professional | RR · Rental | $5.37 | $8.32 | $11.75 |
United Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $61.66 Typical High $87.10 | Professional | UE · Used equipment | $39.81 | $61.66 | $87.10 |
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 $141.25 Median $354.81 Typical High $354.81 | Professional | 50 · Both sides | $141.25 | $354.81 | $354.81 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $46.77 Median $117.49 Typical High $117.49 | Professional | 51 · Multiple procedures | $46.77 | $117.49 | $117.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $18.62 Median $46.77 Typical High $46.77 | Professional | 80 · Assistant surgeon | $18.62 | $46.77 | $46.77 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.18 Median $33.11 Typical High $33.11 | Professional | 81 · Minimal assistant surgeon | $13.18 | $33.11 | $33.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.18 Median $33.11 Typical High $33.11 | Professional | 82 · Assistant surgeon, no resident | $13.18 | $33.11 | $33.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.18 Median $33.11 Typical High $33.11 | Professional | AS · PA/NP assist | $13.18 | $33.11 | $33.11 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $25.70 Median $117.49 Typical High $117.49 | Professional | SH · Second concurrent infusion | $25.70 | $117.49 | $117.49 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $25.70 Median $117.49 Typical High $117.49 | Professional | SJ · Third+ concurrent infusion | $25.70 | $117.49 | $117.49 |
Where North Carolina sits
The same service costs 3.0 times more in Kansas 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· 31st of 51
$97.72
KS $195NM $64.57
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.