How much rates vary
Facilitymedian $355 · 10th to 90th $355 to $468Professionalmedian $407 · 10th to 90th $275 to $575
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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $407.38 Typical High $489.78 | Professional | None | $295.12 | $407.38 | $489.78 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $302.00 Median $302.00 Typical High $371.54 | Professional | UE · Used equipment | $302.00 | $302.00 | $371.54 |
BCBS North Carolina Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $691.83 | Facility | None | $575.44 | $575.44 | $691.83 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | RR · Rental | $52.48 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $407.38 | Facility | None | $354.81 | $354.81 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $467.74 | Professional | None | $354.81 | $354.81 | $467.74 |
Medcost Setting Professional Modifier None Typical Low $371.54 Median $398.11 Typical High $398.11 | Professional | None | $371.54 | $398.11 | $398.11 |
Medcost Setting Facility Modifier None Typical Low $218.78 Median $407.38 Typical High $575.44 | Facility | None | $218.78 | $407.38 | $575.44 |
Medcost Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Medcost Setting Professional Modifier RR · Rental Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | RR · Rental | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $229.09 Median $331.13 Typical High $467.74 | Professional | None | $229.09 | $331.13 | $467.74 |
United Setting Professional Modifier RR · Rental Typical Low $22.91 Median $33.11 Typical High $46.77 | Professional | RR · Rental | $22.91 | $33.11 | $46.77 |
United Setting Professional Modifier UE · Used equipment Typical Low $169.82 Median $245.47 Typical High $354.81 | Professional | UE · Used equipment | $169.82 | $245.47 | $354.81 |
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 $870.96 Median $870.96 Typical High $870.96 | Professional | 50 · Both sides | $870.96 | $870.96 | $870.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 51 · Multiple procedures | $288.40 | $288.40 | $288.40 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 80 · Assistant surgeon | $114.82 | $114.82 | $114.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 81 · Minimal assistant surgeon | $81.28 | $81.28 | $81.28 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 82 · Assistant surgeon, no resident | $81.28 | $81.28 | $81.28 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | AS · PA/NP assist | $81.28 | $81.28 | $81.28 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | SH · Second concurrent infusion | $288.40 | $288.40 | $288.40 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | SJ · Third+ concurrent infusion | $288.40 | $288.40 | $288.40 |
Where North Carolina sits
The same service costs 2.7 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· 31st of 51
$398
HI $741NM $275
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.