How much rates vary
Facilitymedian $15 · 10th to 90th $15 to $19Professionalmedian $15 · 10th to 90th $10 to $19
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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $16.22 Typical High $20.42 | Professional | None | $7.41 | $16.22 | $20.42 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5.62 Median $12.30 Typical High $14.79 | Professional | UE · Used equipment | $5.62 | $12.30 | $14.79 |
BCBS North Carolina Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $23.44 | Facility | None | $19.50 | $19.50 | $23.44 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $1.95 Median $1.95 Typical High $1.95 | Professional | RR · Rental | $1.95 | $1.95 | $1.95 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $16.22 | Facility | None | $15.14 | $15.14 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $19.95 | Professional | None | $15.14 | $15.14 | $19.95 |
Medcost Setting Professional Modifier None Typical Low $12.59 Median $13.80 Typical High $13.80 | Professional | None | $12.59 | $13.80 | $13.80 |
Medcost Setting Facility Modifier None Typical Low $11.75 Median $16.22 Typical High $19.50 | Facility | None | $11.75 | $16.22 | $19.50 |
Medcost Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $19.50 | Professional | None | $18.20 | $18.20 | $19.50 |
Medcost Setting Professional Modifier RR · Rental Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | RR · Rental | $2.04 | $2.04 | $2.04 |
United Setting Professional Modifier None Typical Low $7.94 Median $11.75 Typical High $16.60 | Professional | None | $7.94 | $11.75 | $16.60 |
United Setting Professional Modifier RR · Rental Typical Low $0.81 Median $1.17 Typical High $1.66 | Professional | RR · Rental | $0.81 | $1.17 | $1.66 |
United Setting Professional Modifier UE · Used equipment Typical Low $6.03 Median $8.91 Typical High $12.59 | Professional | UE · Used equipment | $6.03 | $8.91 | $12.59 |
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 $26.92 Median $26.92 Typical High $26.92 | Professional | 50 · Both sides | $26.92 | $26.92 | $26.92 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 51 · Multiple procedures | $8.91 | $8.91 | $8.91 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.63 Median $3.63 Typical High $3.63 | Professional | 80 · Assistant surgeon | $3.63 | $3.63 | $3.63 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 81 · Minimal assistant surgeon | $2.51 | $2.51 | $2.51 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 82 · Assistant surgeon, no resident | $2.51 | $2.51 | $2.51 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | AS · PA/NP assist | $2.51 | $2.51 | $2.51 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | SH · Second concurrent infusion | $8.91 | $8.91 | $8.91 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | SJ · Third+ concurrent infusion | $8.91 | $8.91 | $8.91 |
Where North Carolina sits
The same service costs 2.3 times more in Kansas 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· 36th of 51
$15.14
KS $24.55NM $10.72
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.