How much rates vary
Facilitymedian $41 · 10th to 90th $39 to $42Professionalmedian $39 · 10th to 90th $29 to $52
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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $41.69 Typical High $52.48 | Professional | None | $36.31 | $41.69 | $52.48 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $26.92 Median $31.62 Typical High $38.90 | Professional | UE · Used equipment | $26.92 | $31.62 | $38.90 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | RR · Rental | $5.13 | $5.13 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $46.77 | Professional | None | $38.90 | $38.90 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $34.67 Median $37.15 Typical High $37.15 | Professional | None | $34.67 | $37.15 | $37.15 |
Medcost Setting Facility Modifier None Typical Low $29.51 Median $41.69 Typical High $50.12 | Facility | None | $29.51 | $41.69 | $50.12 |
Medcost Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $52.48 | Professional | None | $47.86 | $47.86 | $52.48 |
Medcost Setting Professional Modifier RR · Rental Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | RR · Rental | $5.62 | $5.62 | $5.62 |
United Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $43.65 | Professional | None | $21.88 | $30.90 | $43.65 |
United Setting Professional Modifier RR · Rental Typical Low $2.19 Median $3.09 Typical High $4.37 | Professional | RR · Rental | $2.19 | $3.09 | $4.37 |
United Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $23.44 Typical High $32.36 | Professional | UE · Used equipment | $16.22 | $23.44 | $32.36 |
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 $72.44 Median $72.44 Typical High $72.44 | Professional | 50 · Both sides | $72.44 | $72.44 | $72.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | 51 · Multiple procedures | $23.99 | $23.99 | $23.99 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | 80 · Assistant surgeon | $9.55 | $9.55 | $9.55 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | 81 · Minimal assistant surgeon | $6.76 | $6.76 | $6.76 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | 82 · Assistant surgeon, no resident | $6.76 | $6.76 | $6.76 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | AS · PA/NP assist | $6.76 | $6.76 | $6.76 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | SH · Second concurrent infusion | $23.99 | $23.99 | $23.99 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | SJ · Third+ concurrent infusion | $23.99 | $23.99 | $23.99 |
Where North Carolina sits
The same service costs 2.2 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
$38.90
HI $64.57NM $29.51
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.