How much rates vary
Facilitymedian $204 · 10th to 90th $204 to $275Professionalmedian $234 · 10th to 90th $158 to $372
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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $234.42 Typical High $363.08 | Professional | None | $165.96 | $234.42 | $363.08 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $125.89 Median $177.83 Typical High $213.80 | Professional | UE · Used equipment | $125.89 | $177.83 | $213.80 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | RR · Rental | $30.90 | $30.90 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $229.09 | Facility | None | $204.17 | $204.17 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $275.42 | Professional | None | $204.17 | $204.17 | $275.42 |
Medcost Setting Professional Modifier None Typical Low $223.87 Median $245.47 Typical High $245.47 | Professional | None | $223.87 | $245.47 | $245.47 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $234.42 Typical High $371.54 | Facility | None | $131.83 | $234.42 | $371.54 |
Medcost Setting Professional Modifier None Typical Low $346.74 Median $371.54 Typical High $371.54 | Professional | None | $346.74 | $371.54 | $371.54 |
Medcost Setting Professional Modifier RR · Rental Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | RR · Rental | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $131.83 Median $194.98 Typical High $275.42 | Professional | None | $131.83 | $194.98 | $275.42 |
United Setting Professional Modifier RR · Rental Typical Low $13.18 Median $19.50 Typical High $27.54 | Professional | RR · Rental | $13.18 | $19.50 | $27.54 |
United Setting Professional Modifier UE · Used equipment Typical Low $97.72 Median $144.54 Typical High $208.93 | Professional | UE · Used equipment | $97.72 | $144.54 | $208.93 |
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 $562.34 Median $562.34 Typical High $562.34 | Professional | 50 · Both sides | $562.34 | $562.34 | $562.34 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 51 · Multiple procedures | $186.21 | $186.21 | $186.21 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 80 · Assistant surgeon | $74.13 | $74.13 | $74.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 81 · Minimal assistant surgeon | $52.48 | $52.48 | $52.48 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 82 · Assistant surgeon, no resident | $52.48 | $52.48 | $52.48 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | AS · PA/NP assist | $52.48 | $52.48 | $52.48 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | SH · Second concurrent infusion | $186.21 | $186.21 | $186.21 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | SJ · Third+ concurrent infusion | $186.21 | $186.21 | $186.21 |
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
$234
HI $447NM $162
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.