How much rates vary
Facilitymedian $331 · 10th to 90th $56 to $447Professionalmedian $331 · 10th to 90th $182 to $501
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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $446.68 Typical High $446.68 | Professional | None | $316.23 | $446.68 | $446.68 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $154.88 Median $338.84 Typical High $338.84 | Professional | UE · Used equipment | $154.88 | $338.84 | $338.84 |
BCBS North Carolina Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $100.00 | Facility | None | $85.11 | $85.11 | $100.00 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | RR · Rental | $58.88 | $58.88 | $58.88 |
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 Facility Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $44.67 | Facility | RR · Rental | $33.11 | $33.11 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $331.13 | Professional | None | $281.84 | $331.13 | $331.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $43.65 | Professional | RR · Rental | $33.11 | $33.11 | $43.65 |
Medcost Setting Professional Modifier RR · Rental Typical Low $53.70 Median $57.54 Typical High $57.54 | Professional | RR · Rental | $53.70 | $57.54 | $57.54 |
Medcost Setting Facility Modifier None Typical Low $56.23 Median $416.87 Typical High $501.19 | Facility | None | $56.23 | $416.87 | $501.19 |
Medcost Setting Professional Modifier None Typical Low $77.62 Median $501.19 Typical High $501.19 | Professional | None | $77.62 | $501.19 | $501.19 |
Medcost Setting Professional Modifier RR · Rental Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | RR · Rental | $66.07 | $66.07 | $66.07 |
United Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $346.74 | Professional | None | $173.78 | $263.03 | $346.74 |
United Setting Professional Modifier RR · Rental Typical Low $22.91 Median $38.02 Typical High $52.48 | Professional | RR · Rental | $22.91 | $38.02 | $52.48 |
United Setting Professional Modifier UE · Used equipment Typical Low $131.83 Median $199.53 Typical High $257.04 | Professional | UE · Used equipment | $131.83 | $199.53 | $257.04 |
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 $114.82 Median $741.31 Typical High $741.31 | Professional | 50 · Both sides | $114.82 | $741.31 | $741.31 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $38.90 Median $251.19 Typical High $251.19 | Professional | 51 · Multiple procedures | $38.90 | $251.19 | $251.19 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.49 Median $100.00 Typical High $100.00 | Professional | 80 · Assistant surgeon | $15.49 | $100.00 | $100.00 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.72 Median $69.18 Typical High $69.18 | Professional | 81 · Minimal assistant surgeon | $10.72 | $69.18 | $69.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.72 Median $69.18 Typical High $69.18 | Professional | 82 · Assistant surgeon, no resident | $10.72 | $69.18 | $69.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.72 Median $69.18 Typical High $69.18 | Professional | AS · PA/NP assist | $10.72 | $69.18 | $69.18 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $38.90 Median $251.19 Typical High $251.19 | Professional | SH · Second concurrent infusion | $38.90 | $251.19 | $251.19 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $38.90 Median $251.19 Typical High $251.19 | Professional | SJ · Third+ concurrent infusion | $38.90 | $251.19 | $251.19 |
Where North Carolina sits
The same service costs 17.4 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· 36th of 51
$331
KS $977IL $56.23
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.