How much rates vary
Facilitymedian $13 · 10th to 90th $13 to $15Professionalmedian $13 · 10th to 90th $9 to $17
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 $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $14.13 Typical High $17.38 | Professional | None | $12.59 | $14.13 | $17.38 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $10.47 Median $10.47 Typical High $12.88 | Professional | UE · Used equipment | $10.47 | $10.47 | $12.88 |
BCBS North Carolina Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $19.95 | Facility | None | $16.60 | $16.60 | $19.95 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $1.66 Median $1.66 Typical High $1.66 | Professional | RR · Rental | $1.66 | $1.66 | $1.66 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $15.85 | Professional | None | $13.18 | $13.18 | $15.85 |
Medcost Setting Professional Modifier None Typical Low $10.72 Median $11.75 Typical High $11.75 | Professional | None | $10.72 | $11.75 | $11.75 |
Medcost Setting Facility Modifier None Typical Low $10.00 Median $14.13 Typical High $16.98 | Facility | None | $10.00 | $14.13 | $16.98 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $16.60 | Professional | None | $15.14 | $15.14 | $16.60 |
Medcost Setting Professional Modifier RR · Rental Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | RR · Rental | $1.74 | $1.74 | $1.74 |
United Setting Professional Modifier None Typical Low $6.92 Median $10.23 Typical High $14.13 | Professional | None | $6.92 | $10.23 | $14.13 |
United Setting Professional Modifier RR · Rental Typical Low $0.68 Median $1.00 Typical High $1.45 | Professional | RR · Rental | $0.68 | $1.00 | $1.45 |
United Setting Professional Modifier UE · Used equipment Typical Low $5.13 Median $7.59 Typical High $10.72 | Professional | UE · Used equipment | $5.13 | $7.59 | $10.72 |
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 $22.39 Median $22.39 Typical High $22.39 | Professional | 50 · Both sides | $22.39 | $22.39 | $22.39 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 51 · Multiple procedures | $7.59 | $7.59 | $7.59 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | 80 · Assistant surgeon | $3.02 | $3.02 | $3.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | 81 · Minimal assistant surgeon | $2.09 | $2.09 | $2.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | 82 · Assistant surgeon, no resident | $2.09 | $2.09 | $2.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.09 Median $2.09 Typical High $2.09 | Professional | AS · PA/NP assist | $2.09 | $2.09 | $2.09 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | SH · Second concurrent infusion | $7.59 | $7.59 | $7.59 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | SJ · Third+ concurrent infusion | $7.59 | $7.59 | $7.59 |
Where North Carolina sits
The same service costs 2.7 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
$13.18
KS $25.12NM $9.33
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.