How much rates vary
Facilitymedian $2,344 · 10th to 90th $646 to $2,344Professionalmedian $646 · 10th to 90th $363 to $5,623
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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $630.96 Median $724.44 Typical High $891.25 | Professional | None | $630.96 | $724.44 | $891.25 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $537.03 Median $537.03 Typical High $660.69 | Professional | UE · Used equipment | $537.03 | $537.03 | $660.69 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | RR · Rental | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
Cigna Setting Professional Modifier None Typical Low $1,202.26 Median $2,344.23 Typical High $2,344.23 | Professional | None | $1,202.26 | $2,344.23 | $2,344.23 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $724.44 Typical High $812.83 | Facility | None | $64.57 | $724.44 | $812.83 |
Medcost Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $5,623.41 | Professional | None | $645.65 | $645.65 | $5,623.41 |
Medcost Setting Professional Modifier RR · Rental Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | RR · Rental | $79.43 | $79.43 | $79.43 |
United Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $588.84 | Professional | None | $323.59 | $389.05 | $588.84 |
United Setting Professional Modifier RR · Rental Typical Low $30.90 Median $48.98 Typical High $67.61 | Professional | RR · Rental | $30.90 | $48.98 | $67.61 |
United Setting Professional Modifier UE · Used equipment Typical Low $245.47 Median $295.12 Typical High $446.68 | Professional | UE · Used equipment | $245.47 | $295.12 | $446.68 |
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 $977.24 Median $977.24 Typical High $977.24 | Professional | 50 · Both sides | $977.24 | $977.24 | $977.24 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 51 · Multiple procedures | $323.59 | $323.59 | $323.59 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 80 · Assistant surgeon | $128.82 | $128.82 | $128.82 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 81 · Minimal assistant surgeon | $91.20 | $91.20 | $91.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 82 · Assistant surgeon, no resident | $91.20 | $91.20 | $91.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | AS · PA/NP assist | $91.20 | $91.20 | $91.20 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | SH · Second concurrent infusion | $323.59 | $323.59 | $323.59 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | SJ · Third+ concurrent infusion | $323.59 | $323.59 | $323.59 |
Where North Carolina sits
The same service costs 10.5 times more in North Dakota than in Mississippi. 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· 37th of 51
$646
ND $1,148MS $110
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.