How much rates vary
Facilitymedian $27 · 10th to 90th $21 to $32Professionalmedian $27 · 10th to 90th $16 to $32
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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $33.11 | Professional | None | $26.92 | $26.92 | $33.11 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $19.95 Typical High $25.12 | Professional | UE · Used equipment | $19.95 | $19.95 | $25.12 |
BCBS North Carolina 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 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $30.20 Typical High $44.67 | Professional | None | $16.22 | $30.20 | $44.67 |
Medcost Setting Professional Modifier None Typical Low $20.89 Median $22.91 Typical High $22.91 | Professional | None | $20.89 | $22.91 | $22.91 |
Medcost Setting Facility Modifier None Typical Low $19.50 Median $26.92 Typical High $32.36 | Facility | None | $19.50 | $26.92 | $32.36 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $32.36 | Professional | None | $28.84 | $28.84 | $32.36 |
Medcost 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 |
United Setting Professional Modifier None Typical Low $13.49 Median $19.50 Typical High $27.54 | Professional | None | $13.49 | $19.50 | $27.54 |
United Setting Professional Modifier RR · Rental Typical Low $1.32 Median $1.95 Typical High $2.75 | Professional | RR · Rental | $1.32 | $1.95 | $2.75 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.00 Median $14.79 Typical High $20.89 | Professional | UE · Used equipment | $10.00 | $14.79 | $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 $43.65 Median $43.65 Typical High $43.65 | Professional | 50 · Both sides | $43.65 | $43.65 | $43.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 51 · Multiple procedures | $14.45 | $14.45 | $14.45 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 80 · Assistant surgeon | $5.75 | $5.75 | $5.75 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 81 · Minimal assistant surgeon | $4.07 | $4.07 | $4.07 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | 82 · Assistant surgeon, no resident | $4.07 | $4.07 | $4.07 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | AS · PA/NP assist | $4.07 | $4.07 | $4.07 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | SH · Second concurrent infusion | $14.45 | $14.45 | $14.45 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | SJ · Third+ concurrent infusion | $14.45 | $14.45 | $14.45 |
Where North Carolina sits
The same service costs 2.5 times more in Montana than in Rhode Island. 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
$26.92
MT $40.74RI $16.22
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.