How much rates vary
Facilitymedian $331 · 10th to 90th $59 to $427Professionalmedian $339 · 10th to 90th $224 to $479
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 $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $446.68 | Professional | None | $338.84 | $426.58 | $446.68 |
Aetna Setting Professional Modifier RR · Rental Typical Low $33.88 Median $33.88 Typical High $38.02 | Professional | RR · Rental | $33.88 | $33.88 | $38.02 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $169.82 Median $316.23 Typical High $331.13 | Professional | UE · Used equipment | $169.82 | $316.23 | $331.13 |
Ambetter Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $42.66 Median $58.88 Typical High $58.88 | Professional | RR · Rental | $42.66 | $58.88 | $58.88 |
BCBS North Carolina Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $104.71 | Facility | None | $87.10 | $87.10 | $104.71 |
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 $398.11 | Facility | None | $331.13 | $331.13 | $398.11 |
Cigna Setting Facility Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $39.81 | Facility | RR · Rental | $33.11 | $33.11 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $398.11 | Professional | None | $281.84 | $331.13 | $398.11 |
Cigna Setting Professional Modifier RR · Rental Typical Low $33.11 Median $33.11 Typical High $38.90 | Professional | RR · Rental | $33.11 | $33.11 | $38.90 |
Medcost Setting Professional Modifier RR · Rental Typical Low $58.88 Median $63.10 Typical High $63.10 | Professional | RR · Rental | $58.88 | $63.10 | $63.10 |
Medcost Setting Facility Modifier None Typical Low $58.88 Median $389.05 Typical High $446.68 | Facility | None | $58.88 | $389.05 | $446.68 |
Medcost Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $489.78 | Professional | None | $478.63 | $478.63 | $489.78 |
Medcost Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | RR · Rental | $69.18 | $69.18 | $69.18 |
United Setting Professional Modifier None Typical Low $208.93 Median $288.40 Typical High $389.05 | Professional | None | $208.93 | $288.40 | $389.05 |
United Setting Professional Modifier RR · Rental Typical Low $21.88 Median $37.15 Typical High $54.95 | Professional | RR · Rental | $21.88 | $37.15 | $54.95 |
United Setting Professional Modifier UE · Used equipment Typical Low $154.88 Median $213.80 Typical High $288.40 | Professional | UE · Used equipment | $154.88 | $213.80 | $288.40 |
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 $724.44 Median $724.44 Typical High $1,023.29 | Professional | 50 · Both sides | $724.44 | $724.44 | $1,023.29 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $239.88 Median $239.88 Typical High $338.84 | Professional | 51 · Multiple procedures | $239.88 | $239.88 | $338.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $95.50 Median $95.50 Typical High $138.04 | Professional | 80 · Assistant surgeon | $95.50 | $95.50 | $138.04 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $67.61 Median $67.61 Typical High $95.50 | Professional | 81 · Minimal assistant surgeon | $67.61 | $67.61 | $95.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $67.61 Median $67.61 Typical High $95.50 | Professional | 82 · Assistant surgeon, no resident | $67.61 | $67.61 | $95.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $67.61 Median $67.61 Typical High $95.50 | Professional | AS · PA/NP assist | $67.61 | $67.61 | $95.50 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $239.88 Median $239.88 Typical High $251.19 | Professional | SH · Second concurrent infusion | $239.88 | $239.88 | $251.19 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $239.88 Median $239.88 Typical High $251.19 | Professional | SJ · Third+ concurrent infusion | $239.88 | $239.88 | $251.19 |
Where North Carolina sits
The same service costs 16.6 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· 31st of 51
$331
KS $832IL $50.12
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.