How much rates vary
Facilitymedian $5,012 · 10th to 90th $407 to $5,129Professionalmedian $2,951 · 10th to 90th $2,138 to $5,129
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 $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Aetna Setting Professional Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $6,309.57 | Professional | None | $4,265.80 | $5,011.87 | $6,309.57 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | RR · Rental | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Cigna Setting Facility Modifier RR · Rental Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | RR · Rental | $512.86 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $5,128.61 | Professional | None | $4,365.16 | $5,128.61 | $5,128.61 |
Cigna Setting Professional Modifier RR · Rental Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | RR · Rental | $512.86 | $512.86 | $512.86 |
Medcost Setting Professional Modifier RR · Rental Typical Low $331.13 Median $354.81 Typical High $354.81 | Professional | RR · Rental | $331.13 | $354.81 | $354.81 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $3,890.45 Typical High $5,370.32 | Facility | None | $407.38 | $3,890.45 | $5,370.32 |
Medcost Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $5,754.40 | Professional | None | $2,818.38 | $2,818.38 | $5,754.40 |
Medcost Setting Professional Modifier RR · Rental Typical Low $478.63 Median $478.63 Typical High $537.03 | Professional | RR · Rental | $478.63 | $478.63 | $537.03 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,511.89 Typical High $3,981.07 | Professional | None | $1,819.70 | $2,511.89 | $3,981.07 |
United Setting Professional Modifier RR · Rental Typical Low $239.88 Median $363.08 Typical High $467.74 | Professional | RR · Rental | $239.88 | $363.08 | $467.74 |
10 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 KF · Class III device Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | KF · Class III device | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $3,801.89 Median $3,801.89 Typical High $4,677.35 | Professional | UE · Used equipment | $3,801.89 | $3,801.89 | $4,677.35 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $4,265.80 Median $4,265.80 Typical High $8,709.64 | Professional | 50 · Both sides | $4,265.80 | $4,265.80 | $8,709.64 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,412.54 Median $1,412.54 Typical High $2,884.03 | Professional | 51 · Multiple procedures | $1,412.54 | $1,412.54 | $2,884.03 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $562.34 Median $562.34 Typical High $1,148.15 | Professional | 80 · Assistant surgeon | $562.34 | $562.34 | $1,148.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $398.11 Median $398.11 Typical High $812.83 | Professional | 81 · Minimal assistant surgeon | $398.11 | $398.11 | $812.83 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $398.11 Median $398.11 Typical High $812.83 | Professional | 82 · Assistant surgeon, no resident | $398.11 | $398.11 | $812.83 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $398.11 Median $398.11 Typical High $812.83 | Professional | AS · PA/NP assist | $398.11 | $398.11 | $812.83 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | SH · Second concurrent infusion | $1,412.54 | $1,412.54 | $1,412.54 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | SJ · Third+ concurrent infusion | $1,412.54 | $1,412.54 | $1,412.54 |
Where North Carolina sits
The same service costs 12.6 times more in Kansas 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· 41st of 51
$3,548
KS $9,772MS $776
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.