How much rates vary
Facilitymedian $25 · 10th to 90th $24 to $28Professionalmedian $25 · 10th to 90th $17 to $31
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 $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $26.30 Typical High $32.36 | Professional | None | $23.44 | $26.30 | $32.36 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $19.50 Median $19.50 Typical High $24.55 | Professional | UE · Used equipment | $19.50 | $19.50 | $24.55 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | RR · Rental | $3.09 | $3.09 | $3.09 |
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 $29.51 | Professional | None | $25.12 | $25.12 | $29.51 |
Medcost Setting Professional Modifier None Typical Low $22.39 Median $23.99 Typical High $23.99 | Professional | None | $22.39 | $23.99 | $23.99 |
Medcost Setting Facility Modifier None Typical Low $19.05 Median $26.30 Typical High $31.62 | Facility | None | $19.05 | $26.30 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $30.90 | Professional | None | $28.18 | $28.18 | $30.90 |
Medcost Setting Professional Modifier RR · Rental Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | RR · Rental | $3.24 | $3.24 | $3.24 |
United Setting Professional Modifier None Typical Low $14.79 Median $19.05 Typical High $28.18 | Professional | None | $14.79 | $19.05 | $28.18 |
United Setting Professional Modifier RR · Rental Typical Low $1.45 Median $1.91 Typical High $2.75 | Professional | RR · Rental | $1.45 | $1.91 | $2.75 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.96 Median $14.13 Typical High $20.89 | Professional | UE · Used equipment | $10.96 | $14.13 | $20.89 |
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 $41.69 Median $41.69 Typical High $41.69 | Professional | 50 · Both sides | $41.69 | $41.69 | $41.69 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 51 · Multiple procedures | $14.13 | $14.13 | $14.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 80 · Assistant surgeon | $5.62 | $5.62 | $5.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 81 · Minimal assistant surgeon | $3.89 | $3.89 | $3.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 82 · Assistant surgeon, no resident | $3.89 | $3.89 | $3.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | AS · PA/NP assist | $3.89 | $3.89 | $3.89 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | SH · Second concurrent infusion | $14.13 | $14.13 | $14.13 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | SJ · Third+ concurrent infusion | $14.13 | $14.13 | $14.13 |
Where North Carolina sits
The same service costs 2.1 times more in Wisconsin 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· 43rd of 51
$25.12
WI $38.90NM $18.62
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.