How much rates vary
Facilitymedian $166 · 10th to 90th $166 to $219Professionalmedian $186 · 10th to 90th $107 to $339
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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $186.21 Typical High $251.19 | Professional | None | $102.33 | $186.21 | $251.19 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $77.62 Median $141.25 Typical High $162.18 | Professional | UE · Used equipment | $77.62 | $141.25 | $162.18 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | RR · Rental | $24.55 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $177.83 | Facility | None | $165.96 | $165.96 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $218.78 | Professional | None | $165.96 | $165.96 | $218.78 |
Medcost Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $190.55 | Professional | None | $173.78 | $190.55 | $190.55 |
Medcost Setting Facility Modifier None Typical Low $102.33 Median $186.21 Typical High $331.13 | Facility | None | $102.33 | $186.21 | $331.13 |
Medcost Setting Professional Modifier None Typical Low $269.15 Median $338.84 Typical High $338.84 | Professional | None | $269.15 | $338.84 | $338.84 |
Medcost Setting Professional Modifier RR · Rental Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | RR · Rental | $28.18 | $28.18 | $28.18 |
United Setting Professional Modifier None Typical Low $107.15 Median $154.88 Typical High $218.78 | Professional | None | $107.15 | $154.88 | $218.78 |
United Setting Professional Modifier RR · Rental Typical Low $10.72 Median $15.49 Typical High $21.88 | Professional | RR · Rental | $10.72 | $15.49 | $21.88 |
United Setting Professional Modifier UE · Used equipment Typical Low $79.43 Median $114.82 Typical High $165.96 | Professional | UE · Used equipment | $79.43 | $114.82 | $165.96 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | 50 · Both sides | $501.19 | $501.19 | $501.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 51 · Multiple procedures | $169.82 | $169.82 | $169.82 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 80 · Assistant surgeon | $67.61 | $67.61 | $67.61 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 81 · Minimal assistant surgeon | $46.77 | $46.77 | $46.77 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 82 · Assistant surgeon, no resident | $46.77 | $46.77 | $46.77 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | AS · PA/NP assist | $46.77 | $46.77 | $46.77 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | SH · Second concurrent infusion | $169.82 | $169.82 | $169.82 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | SJ · Third+ concurrent infusion | $169.82 | $169.82 | $169.82 |
Where North Carolina sits
The same service costs 2.7 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· 36th of 51
$182
HI $347IL $129
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.