How much rates vary
Facilitymedian $32 · 10th to 90th $25 to $37Professionalmedian $30 · 10th to 90th $22 to $41
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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $34.67 Typical High $45.71 | Professional | None | $27.54 | $34.67 | $45.71 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $25.70 Typical High $34.67 | Professional | UE · Used equipment | $19.95 | $25.70 | $34.67 |
BCBS North Carolina Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $48.98 | Facility | None | $40.74 | $40.74 | $48.98 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | RR · Rental | $3.63 | $3.63 | $3.63 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $42.66 | Professional | None | $25.12 | $25.12 | $42.66 |
Medcost Setting Professional Modifier None Typical Low $26.92 Median $28.84 Typical High $28.84 | Professional | None | $26.92 | $28.84 | $28.84 |
Medcost Setting Facility Modifier None Typical Low $26.92 Median $34.67 Typical High $41.69 | Facility | None | $26.92 | $34.67 | $41.69 |
Medcost Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $40.74 | Professional | None | $37.15 | $37.15 | $40.74 |
Medcost Setting Professional Modifier RR · Rental Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | RR · Rental | $3.80 | $3.80 | $3.80 |
United Setting Professional Modifier None Typical Low $19.50 Median $25.70 Typical High $37.15 | Professional | None | $19.50 | $25.70 | $37.15 |
United Setting Professional Modifier RR · Rental Typical Low $1.74 Median $2.34 Typical High $3.47 | Professional | RR · Rental | $1.74 | $2.34 | $3.47 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $19.50 Typical High $27.54 | Professional | UE · Used equipment | $14.45 | $19.50 | $27.54 |
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 $54.95 Median $54.95 Typical High $54.95 | Professional | 50 · Both sides | $54.95 | $54.95 | $54.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 51 · Multiple procedures | $18.62 | $18.62 | $18.62 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 80 · Assistant surgeon | $7.41 | $7.41 | $7.41 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 81 · Minimal assistant surgeon | $5.13 | $5.13 | $5.13 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 82 · Assistant surgeon, no resident | $5.13 | $5.13 | $5.13 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | AS · PA/NP assist | $5.13 | $5.13 | $5.13 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | SH · Second concurrent infusion | $18.62 | $18.62 | $18.62 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | SJ · Third+ concurrent infusion | $18.62 | $18.62 | $18.62 |
Where North Carolina sits
The same service costs 4.8 times more in Hawaii than in New Mexico. 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· 42nd of 51
$29.51
HI $117NM $24.55
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.