How much rates vary
Facilitymedian $41 · 10th to 90th $40 to $43Professionalmedian $40 · 10th to 90th $29 to $52
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 $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $53.70 | Professional | None | $42.66 | $42.66 | $53.70 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $32.36 Median $32.36 Typical High $39.81 | Professional | UE · Used equipment | $32.36 | $32.36 | $39.81 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | RR · Rental | $5.13 | $5.13 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $47.86 | Professional | None | $39.81 | $39.81 | $47.86 |
Medcost Setting Professional Modifier None Typical Low $33.88 Median $37.15 Typical High $37.15 | Professional | None | $33.88 | $37.15 | $37.15 |
Medcost Setting Facility Modifier None Typical Low $30.20 Median $42.66 Typical High $51.29 | Facility | None | $30.20 | $42.66 | $51.29 |
Medcost Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $52.48 | Professional | None | $46.77 | $46.77 | $52.48 |
Medcost Setting Professional Modifier RR · Rental Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | RR · Rental | $5.50 | $5.50 | $5.50 |
United Setting Professional Modifier None Typical Low $21.38 Median $31.62 Typical High $44.67 | Professional | None | $21.38 | $31.62 | $44.67 |
United Setting Professional Modifier RR · Rental Typical Low $2.19 Median $3.16 Typical High $4.47 | Professional | RR · Rental | $2.19 | $3.16 | $4.47 |
United Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $23.44 Typical High $33.11 | Professional | UE · Used equipment | $16.22 | $23.44 | $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 $70.79 Median $70.79 Typical High $70.79 | Professional | 50 · Both sides | $70.79 | $70.79 | $70.79 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 51 · Multiple procedures | $23.44 | $23.44 | $23.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 80 · Assistant surgeon | $9.33 | $9.33 | $9.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 81 · Minimal assistant surgeon | $6.61 | $6.61 | $6.61 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 82 · Assistant surgeon, no resident | $6.61 | $6.61 | $6.61 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | AS · PA/NP assist | $6.61 | $6.61 | $6.61 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | SH · Second concurrent infusion | $23.44 | $23.44 | $23.44 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | SJ · Third+ concurrent infusion | $23.44 | $23.44 | $23.44 |
Where North Carolina sits
The same service costs 3.4 times more in Wisconsin than in Kansas. 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· 37th of 51
$39.81
WI $63.10KS $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.