How much rates vary
Facilitymedian $72 · 10th to 90th $66 to $87Professionalmedian $71 · 10th to 90th $42 to $102
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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $72.44 Typical High $87.10 | Professional | None | $38.90 | $72.44 | $87.10 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $54.95 Typical High $66.07 | Professional | UE · Used equipment | $29.51 | $54.95 | $66.07 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | RR · Rental | $9.55 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $87.10 | Facility | None | $66.07 | $66.07 | $87.10 |
Cigna Setting Facility Modifier RR · Rental Typical Low $6.61 Median $6.61 Typical High $8.71 | Facility | RR · Rental | $6.61 | $6.61 | $8.71 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $87.10 | Professional | None | $66.07 | $66.07 | $87.10 |
Cigna Setting Professional Modifier RR · Rental Typical Low $6.61 Median $6.61 Typical High $8.71 | Professional | RR · Rental | $6.61 | $6.61 | $8.71 |
Medcost Setting Professional Modifier None Typical Low $66.07 Median $70.79 Typical High $70.79 | Professional | None | $66.07 | $70.79 | $70.79 |
Medcost Setting Facility Modifier None Typical Low $51.29 Median $72.44 Typical High $91.20 | Facility | None | $51.29 | $72.44 | $91.20 |
Medcost Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $102.33 | Professional | None | $91.20 | $91.20 | $102.33 |
Medcost Setting Professional Modifier RR · Rental Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | RR · Rental | $10.72 | $10.72 | $10.72 |
United Setting Professional Modifier None Typical Low $40.74 Median $58.88 Typical High $85.11 | Professional | None | $40.74 | $58.88 | $85.11 |
United Setting Professional Modifier RR · Rental Typical Low $4.07 Median $5.89 Typical High $8.51 | Professional | RR · Rental | $4.07 | $5.89 | $8.51 |
United Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $44.67 Typical High $63.10 | Professional | UE · Used equipment | $30.90 | $44.67 | $63.10 |
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 $138.04 Median $138.04 Typical High $138.04 | Professional | 50 · Both sides | $138.04 | $138.04 | $138.04 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 51 · Multiple procedures | $45.71 | $45.71 | $45.71 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 80 · Assistant surgeon | $18.20 | $18.20 | $18.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 81 · Minimal assistant surgeon | $12.88 | $12.88 | $12.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | 82 · Assistant surgeon, no resident | $12.88 | $12.88 | $12.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | AS · PA/NP assist | $12.88 | $12.88 | $12.88 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | SH · Second concurrent infusion | $45.71 | $45.71 | $45.71 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | SJ · Third+ concurrent infusion | $45.71 | $45.71 | $45.71 |
Where North Carolina sits
The same service costs 2.5 times more in Kansas 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· 34th of 51
$70.79
KS $132IL $52.48
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.