How much rates vary
Facilitymedian $339 · 10th to 90th $331 to $372Professionalmedian $331 · 10th to 90th $224 to $380
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 $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $537.03 | Professional | None | $338.84 | $338.84 | $537.03 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $251.19 Median $251.19 Typical High $316.23 | Professional | UE · Used equipment | $251.19 | $251.19 | $316.23 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | RR · Rental | $40.74 | $40.74 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $380.19 | Professional | None | $331.13 | $331.13 | $380.19 |
Medcost Setting Facility Modifier None Typical Low $338.84 Median $346.74 Typical High $457.09 | Facility | None | $338.84 | $346.74 | $457.09 |
Medcost Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Medcost Setting Professional Modifier RR · Rental Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | RR · Rental | $38.02 | $38.02 | $38.02 |
United Setting Professional Modifier None Typical Low $173.78 Median $251.19 Typical High $354.81 | Professional | None | $173.78 | $251.19 | $354.81 |
United Setting Professional Modifier RR · Rental Typical Low $17.38 Median $25.12 Typical High $35.48 | Professional | RR · Rental | $17.38 | $25.12 | $35.48 |
United Setting Professional Modifier UE · Used equipment Typical Low $128.82 Median $186.21 Typical High $263.03 | Professional | UE · Used equipment | $128.82 | $186.21 | $263.03 |
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 $575.44 Median $575.44 Typical High $575.44 | Professional | 50 · Both sides | $575.44 | $575.44 | $575.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 51 · Multiple procedures | $190.55 | $190.55 | $190.55 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 80 · Assistant surgeon | $75.86 | $75.86 | $75.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 81 · Minimal assistant surgeon | $53.70 | $53.70 | $53.70 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 82 · Assistant surgeon, no resident | $53.70 | $53.70 | $53.70 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | AS · PA/NP assist | $53.70 | $53.70 | $53.70 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | SH · Second concurrent infusion | $190.55 | $190.55 | $190.55 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | SJ · Third+ concurrent infusion | $190.55 | $190.55 | $190.55 |
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· 32nd of 51
$331
HI $525NM $229
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.