How much rates vary
Facilitymedian $427 · 10th to 90th $398 to $977Professionalmedian $631 · 10th to 90th $398 to $1,023
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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $1,023.29 | Professional | None | $831.76 | $831.76 | $1,023.29 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $616.60 Median $616.60 Typical High $758.58 | Professional | UE · Used equipment | $616.60 | $616.60 | $758.58 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,318.26 | Facility | None | $1,096.48 | $1,096.48 | $1,318.26 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | RR · Rental | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier RR · Rental Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | RR · Rental | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier UE · Used equipment Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | UE · Used equipment | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $398.11 Typical High $891.25 | Professional | None | $338.84 | $398.11 | $891.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | RR · Rental | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | UE · Used equipment | $316.23 | $316.23 | $316.23 |
Medcost Setting Facility Modifier None Typical Low $812.83 Median $831.76 Typical High $1,096.48 | Facility | None | $812.83 | $831.76 | $1,096.48 |
Medcost Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Medcost Setting Professional Modifier RR · Rental Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | RR · Rental | $102.33 | $102.33 | $102.33 |
United Setting Professional Modifier None Typical Low $389.05 Median $602.56 Typical High $851.14 | Professional | None | $389.05 | $602.56 | $851.14 |
United Setting Professional Modifier RR · Rental Typical Low $38.90 Median $60.26 Typical High $85.11 | Professional | RR · Rental | $38.90 | $60.26 | $85.11 |
United Setting Professional Modifier UE · Used equipment Typical Low $288.40 Median $457.09 Typical High $630.96 | Professional | UE · Used equipment | $288.40 | $457.09 | $630.96 |
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 $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | 50 · Both sides | $1,548.82 | $1,548.82 | $1,548.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 51 · Multiple procedures | $512.86 | $512.86 | $512.86 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 80 · Assistant surgeon | $204.17 | $204.17 | $204.17 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 81 · Minimal assistant surgeon | $144.54 | $144.54 | $144.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 82 · Assistant surgeon, no resident | $144.54 | $144.54 | $144.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | AS · PA/NP assist | $144.54 | $144.54 | $144.54 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | SH · Second concurrent infusion | $512.86 | $512.86 | $512.86 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | SJ · Third+ concurrent infusion | $512.86 | $512.86 | $512.86 |
Where North Carolina sits
The same service costs 3.1 times more in Wisconsin than in Vermont. 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· 40th of 51
$631
WI $1,230VT $398
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.