How much rates vary
Facilitymedian $65 · 10th to 90th $56 to $74Professionalmedian $65 · 10th to 90th $38 to $93
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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $64.57 Typical High $77.62 | Professional | None | $35.48 | $64.57 | $77.62 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $47.86 Typical High $57.54 | Professional | UE · Used equipment | $26.30 | $47.86 | $57.54 |
Ambetter 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 |
BCBS North Carolina Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $109.65 | Facility | None | $91.20 | $91.20 | $109.65 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | RR · Rental | $8.51 | $8.51 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $74.13 | Facility | None | $56.23 | $56.23 | $74.13 |
Cigna Setting Facility Modifier RR · Rental Typical Low $5.62 Median $5.62 Typical High $7.41 | Facility | RR · Rental | $5.62 | $5.62 | $7.41 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $74.13 | Professional | None | $56.23 | $56.23 | $74.13 |
Cigna Setting Professional Modifier RR · Rental Typical Low $5.62 Median $5.62 Typical High $7.41 | Professional | RR · Rental | $5.62 | $5.62 | $7.41 |
Medcost Setting Professional Modifier None Typical Low $60.26 Median $64.57 Typical High $64.57 | Professional | None | $60.26 | $64.57 | $64.57 |
Medcost Setting Facility Modifier None Typical Low $44.67 Median $64.57 Typical High $83.18 | Facility | None | $44.67 | $64.57 | $83.18 |
Medcost Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $93.33 | Professional | None | $83.18 | $83.18 | $93.33 |
Medcost Setting Professional Modifier RR · Rental Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | RR · Rental | $9.77 | $9.77 | $9.77 |
United Setting Professional Modifier None Typical Low $34.67 Median $52.48 Typical High $74.13 | Professional | None | $34.67 | $52.48 | $74.13 |
United Setting Professional Modifier RR · Rental Typical Low $3.47 Median $5.25 Typical High $7.41 | Professional | RR · Rental | $3.47 | $5.25 | $7.41 |
United Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $38.90 Typical High $56.23 | Professional | UE · Used equipment | $26.30 | $38.90 | $56.23 |
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 $125.89 Median $125.89 Typical High $125.89 | Professional | 50 · Both sides | $125.89 | $125.89 | $125.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 51 · Multiple procedures | $41.69 | $41.69 | $41.69 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 80 · Assistant surgeon | $16.60 | $16.60 | $16.60 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 81 · Minimal assistant surgeon | $11.75 | $11.75 | $11.75 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | 82 · Assistant surgeon, no resident | $11.75 | $11.75 | $11.75 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | AS · PA/NP assist | $11.75 | $11.75 | $11.75 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | SH · Second concurrent infusion | $41.69 | $41.69 | $41.69 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | SJ · Third+ concurrent infusion | $41.69 | $41.69 | $41.69 |
Where North Carolina sits
The same service costs 2.3 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· 32nd of 51
$64.57
HI $107IL $45.71
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.