How much rates vary
Facilitymedian $195 · 10th to 90th $35 to $269Professionalmedian $219 · 10th to 90th $26 to $417
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 $234.42 Median $269.15 Typical High $288.40 | Professional | None | $234.42 | $269.15 | $288.40 |
Aetna Setting Professional Modifier RR · Rental Typical Low $13.80 Median $13.80 Typical High $25.70 | Professional | RR · Rental | $13.80 | $13.80 | $25.70 |
Ambetter Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | RR · Rental | $36.31 | $36.31 | $36.31 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | RR · Rental | $36.31 | $36.31 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $257.04 | Facility | None | $194.98 | $194.98 | $257.04 |
Cigna Setting Facility Modifier RR · Rental Typical Low $19.50 Median $19.50 Typical High $25.70 | Facility | RR · Rental | $19.50 | $19.50 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $257.04 | Professional | None | $165.96 | $194.98 | $257.04 |
Cigna Setting Professional Modifier RR · Rental Typical Low $19.50 Median $19.50 Typical High $25.12 | Professional | RR · Rental | $19.50 | $19.50 | $25.12 |
Medcost Setting Professional Modifier RR · Rental Typical Low $34.67 Median $37.15 Typical High $37.15 | Professional | RR · Rental | $34.67 | $37.15 | $37.15 |
Medcost Setting Facility Modifier None Typical Low $35.48 Median $234.42 Typical High $288.40 | Facility | None | $35.48 | $234.42 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Medcost Setting Professional Modifier RR · Rental Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | RR · Rental | $41.69 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $19.05 Median $37.15 Typical High $223.87 | Professional | None | $19.05 | $37.15 | $223.87 |
United Setting Professional Modifier RR · Rental Typical Low $14.13 Median $22.91 Typical High $32.36 | Professional | RR · Rental | $14.13 | $22.91 | $32.36 |
9 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $173.78 Median $204.17 Typical High $213.80 | Professional | UE · Used equipment | $173.78 | $204.17 | $213.80 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 50 · Both sides | $630.96 | $630.96 | $630.96 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 51 · Multiple procedures | $208.93 | $208.93 | $208.93 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 80 · Assistant surgeon | $83.18 | $83.18 | $83.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 81 · Minimal assistant surgeon | $58.88 | $58.88 | $58.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 82 · Assistant surgeon, no resident | $58.88 | $58.88 | $58.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | AS · PA/NP assist | $58.88 | $58.88 | $58.88 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | SH · Second concurrent infusion | $208.93 | $208.93 | $208.93 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | SJ · Third+ concurrent infusion | $208.93 | $208.93 | $208.93 |
Where North Carolina sits
The same service costs 27.5 times more in Kansas than in Illinois. 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
$209
KS $832IL $30.20
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.