How much rates vary
Facilitymedian $74 · 10th to 90th $72 to $98Professionalmedian $74 · 10th to 90th $46 to $95
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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $83.18 Typical High $97.72 | Professional | None | $36.31 | $83.18 | $97.72 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $61.66 Typical High $74.13 | Professional | UE · Used equipment | $27.54 | $61.66 | $74.13 |
BCBS North Carolina Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $131.83 | Facility | None | $109.65 | $109.65 | $131.83 |
BCBS North Carolina 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 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $81.28 | Facility | None | $74.13 | $74.13 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $97.72 | Professional | None | $74.13 | $74.13 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $61.66 Median $66.07 Typical High $66.07 | Professional | None | $61.66 | $66.07 | $66.07 |
Medcost Setting Facility Modifier None Typical Low $57.54 Median $83.18 Typical High $97.72 | Facility | None | $57.54 | $83.18 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $95.50 | Professional | None | $85.11 | $85.11 | $95.50 |
Medcost Setting Professional Modifier RR · Rental Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | RR · Rental | $10.00 | $10.00 | $10.00 |
United Setting Professional Modifier None Typical Low $38.90 Median $60.26 Typical High $85.11 | Professional | None | $38.90 | $60.26 | $85.11 |
United Setting Professional Modifier RR · Rental Typical Low $3.89 Median $6.03 Typical High $8.51 | Professional | RR · Rental | $3.89 | $6.03 | $8.51 |
United Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $45.71 Typical High $64.57 | Professional | UE · Used equipment | $29.51 | $45.71 | $64.57 |
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 $128.82 Median $128.82 Typical High $128.82 | Professional | 50 · Both sides | $128.82 | $128.82 | $128.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 51 · Multiple procedures | $42.66 | $42.66 | $42.66 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 80 · Assistant surgeon | $17.38 | $17.38 | $17.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 81 · Minimal assistant surgeon | $12.02 | $12.02 | $12.02 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 82 · Assistant surgeon, no resident | $12.02 | $12.02 | $12.02 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | AS · PA/NP assist | $12.02 | $12.02 | $12.02 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | SH · Second concurrent infusion | $42.66 | $42.66 | $42.66 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | SJ · Third+ concurrent infusion | $42.66 | $42.66 | $42.66 |
Where North Carolina sits
The same service costs 4.6 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· 37th of 51
$74.13
KS $263IL $57.54
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.