How much rates vary
Facilitymedian $1,445 · 10th to 90th $1,413 to $1,905Professionalmedian $1,445 · 10th to 90th $1,000 to $1,862
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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $1,819.70 Typical High $2,187.76 | Professional | None | $707.95 | $1,819.70 | $2,187.76 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $524.81 Median $1,348.96 Typical High $1,659.59 | Professional | UE · Used equipment | $524.81 | $1,348.96 | $1,659.59 |
Ambetter Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | RR · Rental | $199.53 | $199.53 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,905.46 | Facility | None | $1,445.44 | $1,445.44 | $1,905.46 |
Cigna Setting Facility Modifier RR · Rental Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | RR · Rental | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,905.46 | Professional | None | $1,445.44 | $1,445.44 | $1,905.46 |
Cigna Setting Professional Modifier RR · Rental Typical Low $144.54 Median $144.54 Typical High $158.49 | Professional | RR · Rental | $144.54 | $144.54 | $158.49 |
Medcost Setting Professional Modifier None Typical Low $1,202.26 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,202.26 | $1,288.25 | $1,288.25 |
Medcost Setting Facility Modifier None Typical Low $1,288.25 Median $1,819.70 Typical High $2,187.76 | Facility | None | $1,288.25 | $1,819.70 | $2,187.76 |
Medcost Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,862.09 | Professional | None | $1,659.59 | $1,659.59 | $1,862.09 |
Medcost Setting Professional Modifier RR · Rental Typical Low $165.96 Median $165.96 Typical High $190.55 | Professional | RR · Rental | $165.96 | $165.96 | $190.55 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,230.27 Typical High $1,584.89 | Professional | None | $758.58 | $1,230.27 | $1,584.89 |
United Setting Professional Modifier RR · Rental Typical Low $75.86 Median $123.03 Typical High $158.49 | Professional | RR · Rental | $75.86 | $123.03 | $158.49 |
United Setting Professional Modifier UE · Used equipment Typical Low $575.44 Median $912.01 Typical High $1,174.90 | Professional | UE · Used equipment | $575.44 | $912.01 | $1,174.90 |
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 $2,511.89 Median $2,511.89 Typical High $2,570.40 | Professional | 50 · Both sides | $2,511.89 | $2,511.89 | $2,570.40 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $831.76 Median $831.76 Typical High $851.14 | Professional | 51 · Multiple procedures | $831.76 | $831.76 | $851.14 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $331.13 Median $331.13 Typical High $346.74 | Professional | 80 · Assistant surgeon | $331.13 | $331.13 | $346.74 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $234.42 Median $234.42 Typical High $239.88 | Professional | 81 · Minimal assistant surgeon | $234.42 | $234.42 | $239.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $234.42 Median $234.42 Typical High $239.88 | Professional | 82 · Assistant surgeon, no resident | $234.42 | $234.42 | $239.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $234.42 Median $234.42 Typical High $239.88 | Professional | AS · PA/NP assist | $234.42 | $234.42 | $239.88 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | SH · Second concurrent infusion | $831.76 | $831.76 | $831.76 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | SJ · Third+ concurrent infusion | $831.76 | $831.76 | $831.76 |
Where North Carolina sits
The same service costs 11.0 times more in Hawaii 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· 41st of 51
$1,445
HI $2,818IL $257
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.