How much rates vary
Facilitymedian $263 · 10th to 90th $214 to $324Professionalmedian $263 · 10th to 90th $191 to $309
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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $331.13 | Professional | None | $213.80 | $269.15 | $331.13 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $199.53 Typical High $239.88 | Professional | UE · Used equipment | $162.18 | $199.53 | $239.88 |
BCBS North Carolina Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $398.11 | Facility | None | $331.13 | $331.13 | $398.11 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | RR · Rental | $32.36 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $281.84 | Facility | None | $263.03 | $263.03 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $323.59 | Professional | None | $263.03 | $263.03 | $323.59 |
Medcost Setting Facility Modifier None Typical Low $213.80 Median $269.15 Typical High $316.23 | Facility | None | $213.80 | $269.15 | $316.23 |
Medcost Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Medcost Setting Professional Modifier RR · Rental Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | RR · Rental | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $275.42 | Professional | None | $134.90 | $194.98 | $275.42 |
United Setting Professional Modifier RR · Rental Typical Low $13.49 Median $19.50 Typical High $27.54 | Professional | RR · Rental | $13.49 | $19.50 | $27.54 |
United Setting Professional Modifier UE · Used equipment Typical Low $102.33 Median $147.91 Typical High $208.93 | Professional | UE · Used equipment | $102.33 | $147.91 | $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 $446.68 Median $446.68 Typical High $446.68 | Professional | 50 · Both sides | $446.68 | $446.68 | $446.68 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 51 · Multiple procedures | $151.36 | $151.36 | $151.36 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 80 · Assistant surgeon | $60.26 | $60.26 | $60.26 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 81 · Minimal assistant surgeon | $41.69 | $41.69 | $41.69 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 82 · Assistant surgeon, no resident | $41.69 | $41.69 | $41.69 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | AS · PA/NP assist | $41.69 | $41.69 | $41.69 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | SH · Second concurrent infusion | $151.36 | $151.36 | $151.36 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | SJ · Third+ concurrent infusion | $151.36 | $151.36 | $151.36 |
Where North Carolina sits
The same service costs 2.2 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· 36th of 51
$263
HI $407NM $182
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.