How much rates vary
Facilitymedian $69 · 10th to 90th $65 to $138Professionalmedian $117 · 10th to 90th $65 to $182
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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $125.89 Typical High $154.88 | Professional | None | $91.20 | $125.89 | $154.88 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $95.50 Typical High $123.03 | Professional | UE · Used equipment | $83.18 | $95.50 | $123.03 |
BCBS North Carolina Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $218.78 | Facility | None | $181.97 | $181.97 | $218.78 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | RR · Rental | $16.60 | $16.60 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $69.18 | Professional | None | $54.95 | $64.57 | $69.18 |
Medcost Setting Professional Modifier None Typical Low $117.49 Median $125.89 Typical High $125.89 | Professional | None | $117.49 | $125.89 | $125.89 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $125.89 Typical High $151.36 | Facility | None | $69.18 | $125.89 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $181.97 | Professional | None | $162.18 | $162.18 | $181.97 |
Medcost Setting Professional Modifier RR · Rental Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | RR · Rental | $19.05 | $19.05 | $19.05 |
United Setting Professional Modifier None Typical Low $60.26 Median $100.00 Typical High $131.83 | Professional | None | $60.26 | $100.00 | $131.83 |
United Setting Professional Modifier RR · Rental Typical Low $6.92 Median $10.23 Typical High $14.79 | Professional | RR · Rental | $6.92 | $10.23 | $14.79 |
United Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $74.13 Typical High $97.72 | Professional | UE · Used equipment | $45.71 | $74.13 | $97.72 |
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 $245.47 Median $245.47 Typical High $245.47 | Professional | 50 · Both sides | $245.47 | $245.47 | $245.47 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 51 · Multiple procedures | $81.28 | $81.28 | $81.28 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 80 · Assistant surgeon | $33.11 | $33.11 | $33.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 81 · Minimal assistant surgeon | $22.91 | $22.91 | $22.91 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 82 · Assistant surgeon, no resident | $22.91 | $22.91 | $22.91 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | AS · PA/NP assist | $22.91 | $22.91 | $22.91 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | SH · Second concurrent infusion | $81.28 | $81.28 | $81.28 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | SJ · Third+ concurrent infusion | $81.28 | $81.28 | $81.28 |
Where North Carolina sits
The same service costs 5.1 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· 26th of 51
$117
KS $331IL $64.57
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.