How much rates vary
Facilitymedian $126 · 10th to 90th $126 to $170Professionalmedian $170 · 10th to 90th $120 to $331
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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $199.53 | Professional | None | $120.23 | $169.82 | $199.53 |
Aetna Setting Professional Modifier RR · Rental Typical Low $12.02 Median $12.02 Typical High $13.18 | Professional | RR · Rental | $12.02 | $12.02 | $13.18 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $89.13 Median $125.89 Typical High $125.89 | Professional | UE · Used equipment | $89.13 | $125.89 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
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 $125.89 Median $125.89 Typical High $165.96 | Facility | None | $125.89 | $125.89 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | None | $125.89 | $125.89 | $169.82 |
Medcost Setting Professional Modifier None Typical Low $204.17 Median $218.78 Typical High $218.78 | Professional | None | $204.17 | $218.78 | $218.78 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $169.82 Typical High $331.13 | Facility | None | $120.23 | $169.82 | $331.13 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $331.13 | Professional | None | $309.03 | $331.13 | $331.13 |
Medcost Setting Professional Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | RR · Rental | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $93.33 Median $154.88 Typical High $223.87 | Professional | None | $93.33 | $154.88 | $223.87 |
United Setting Professional Modifier RR · Rental Typical Low $9.33 Median $15.49 Typical High $22.39 | Professional | RR · Rental | $9.33 | $15.49 | $22.39 |
United Setting Professional Modifier UE · Used equipment Typical Low $69.18 Median $114.82 Typical High $169.82 | Professional | UE · Used equipment | $69.18 | $114.82 | $169.82 |
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 $309.03 Median $489.78 Typical High $489.78 | Professional | 50 · Both sides | $309.03 | $489.78 | $489.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $102.33 Median $162.18 Typical High $162.18 | Professional | 51 · Multiple procedures | $102.33 | $162.18 | $162.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $41.69 Median $66.07 Typical High $66.07 | Professional | 80 · Assistant surgeon | $41.69 | $66.07 | $66.07 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $28.84 Median $45.71 Typical High $45.71 | Professional | 81 · Minimal assistant surgeon | $28.84 | $45.71 | $45.71 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $28.84 Median $45.71 Typical High $45.71 | Professional | 82 · Assistant surgeon, no resident | $28.84 | $45.71 | $45.71 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $28.84 Median $45.71 Typical High $45.71 | Professional | AS · PA/NP assist | $28.84 | $45.71 | $45.71 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | SH · Second concurrent infusion | $162.18 | $162.18 | $162.18 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | SJ · Third+ concurrent infusion | $162.18 | $162.18 | $162.18 |
Where North Carolina sits
The same service costs 3.0 times more in Kansas 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· 24th of 51
$170
KS $331IL $112
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.