How much rates vary
Facilitymedian $45 · 10th to 90th $44 to $48Professionalmedian $45 · 10th to 90th $26 to $56
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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $46.77 Typical High $52.48 | Professional | None | $21.88 | $46.77 | $52.48 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $34.67 Typical High $39.81 | Professional | UE · Used equipment | $16.22 | $34.67 | $39.81 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | RR · Rental | $3.39 | $3.39 | $3.39 |
BCBS North Carolina 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 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $52.48 | Professional | None | $44.67 | $44.67 | $52.48 |
Medcost Setting Professional Modifier None Typical Low $37.15 Median $39.81 Typical High $39.81 | Professional | None | $37.15 | $39.81 | $39.81 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $46.77 Typical High $56.23 | Facility | None | $33.11 | $46.77 | $56.23 |
Medcost Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | None | $51.29 | $51.29 | $56.23 |
Medcost Setting Professional Modifier RR · Rental Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | RR · Rental | $6.17 | $6.17 | $6.17 |
United Setting Professional Modifier None Typical Low $22.91 Median $33.88 Typical High $44.67 | Professional | None | $22.91 | $33.88 | $44.67 |
United Setting Professional Modifier RR · Rental Typical Low $2.34 Median $3.47 Typical High $4.47 | Professional | RR · Rental | $2.34 | $3.47 | $4.47 |
United Setting Professional Modifier UE · Used equipment Typical Low $16.98 Median $25.12 Typical High $33.11 | Professional | UE · Used equipment | $16.98 | $25.12 | $33.11 |
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 $75.86 Median $75.86 Typical High $75.86 | Professional | 50 · Both sides | $75.86 | $75.86 | $75.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 51 · Multiple procedures | $25.70 | $25.70 | $25.70 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 80 · Assistant surgeon | $10.23 | $10.23 | $10.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 81 · Minimal assistant surgeon | $7.08 | $7.08 | $7.08 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 82 · Assistant surgeon, no resident | $7.08 | $7.08 | $7.08 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | AS · PA/NP assist | $7.08 | $7.08 | $7.08 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | SH · Second concurrent infusion | $25.70 | $25.70 | $25.70 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | SJ · Third+ concurrent infusion | $25.70 | $25.70 | $25.70 |
Where North Carolina sits
The same service costs 3.8 times more in Hawaii than in Illinois. 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· 33rd of 51
$44.67
HI $123IL $32.36
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.