How much rates vary
Facilitymedian $39 · 10th to 90th $39 to $51Professionalmedian $39 · 10th to 90th $28 to $54
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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $53.70 | Professional | None | $41.69 | $41.69 | $53.70 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $26.92 Median $31.62 Typical High $38.90 | Professional | UE · Used equipment | $26.92 | $31.62 | $38.90 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | RR · Rental | $5.01 | $5.01 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $41.69 | Facility | None | $38.90 | $38.90 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $51.29 | Professional | None | $38.90 | $38.90 | $51.29 |
Medcost Setting Professional Modifier None Typical Low $33.11 Median $36.31 Typical High $36.31 | Professional | None | $33.11 | $36.31 | $36.31 |
Medcost Setting Facility Modifier None Typical Low $19.50 Median $41.69 Typical High $53.70 | Facility | None | $19.50 | $41.69 | $53.70 |
Medcost Setting Professional Modifier None Typical Low $51.29 Median $53.70 Typical High $53.70 | Professional | None | $51.29 | $53.70 | $53.70 |
Medcost Setting Professional Modifier RR · Rental Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | RR · Rental | $5.37 | $5.37 | $5.37 |
United Setting Professional Modifier None Typical Low $20.89 Median $30.90 Typical High $43.65 | Professional | None | $20.89 | $30.90 | $43.65 |
United Setting Professional Modifier RR · Rental Typical Low $2.09 Median $3.09 Typical High $4.37 | Professional | RR · Rental | $2.09 | $3.09 | $4.37 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.85 Median $22.91 Typical High $32.36 | Professional | UE · Used equipment | $15.85 | $22.91 | $32.36 |
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 $81.28 Median $81.28 Typical High $81.28 | Professional | 50 · Both sides | $81.28 | $81.28 | $81.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 51 · Multiple procedures | $26.92 | $26.92 | $26.92 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 80 · Assistant surgeon | $10.72 | $10.72 | $10.72 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 81 · Minimal assistant surgeon | $7.59 | $7.59 | $7.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 82 · Assistant surgeon, no resident | $7.59 | $7.59 | $7.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | AS · PA/NP assist | $7.59 | $7.59 | $7.59 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | SH · Second concurrent infusion | $26.92 | $26.92 | $26.92 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | SJ · Third+ concurrent infusion | $26.92 | $26.92 | $26.92 |
Where North Carolina sits
The same service costs 2.3 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· 41st of 51
$38.90
HI $66.07NM $28.18
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.