How much rates vary
Facilitymedian $36 · 10th to 90th $34 to $39Professionalmedian $36 · 10th to 90th $25 to $43
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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $50.12 | Professional | None | $38.90 | $38.90 | $50.12 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $29.51 Typical High $37.15 | Professional | UE · Used equipment | $29.51 | $29.51 | $37.15 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | RR · Rental | $4.68 | $4.68 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | None | $36.31 | $36.31 | $42.66 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $30.90 Typical High $30.90 | Professional | None | $28.84 | $30.90 | $30.90 |
Medcost Setting Facility Modifier None Typical Low $28.18 Median $38.90 Typical High $46.77 | Facility | None | $28.18 | $38.90 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | None | $39.81 | $39.81 | $41.69 |
Medcost Setting Professional Modifier RR · Rental Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | RR · Rental | $4.68 | $4.68 | $4.68 |
United Setting Professional Modifier None Typical Low $18.20 Median $28.84 Typical High $40.74 | Professional | None | $18.20 | $28.84 | $40.74 |
United Setting Professional Modifier RR · Rental Typical Low $1.82 Median $2.88 Typical High $4.07 | Professional | RR · Rental | $1.82 | $2.88 | $4.07 |
United Setting Professional Modifier UE · Used equipment Typical Low $13.80 Median $21.38 Typical High $30.90 | Professional | UE · Used equipment | $13.80 | $21.38 | $30.90 |
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 $60.26 Median $60.26 Typical High $60.26 | Professional | 50 · Both sides | $60.26 | $60.26 | $60.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | 51 · Multiple procedures | $19.95 | $19.95 | $19.95 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 80 · Assistant surgeon | $7.94 | $7.94 | $7.94 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 81 · Minimal assistant surgeon | $5.62 | $5.62 | $5.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 82 · Assistant surgeon, no resident | $5.62 | $5.62 | $5.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | AS · PA/NP assist | $5.62 | $5.62 | $5.62 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | SH · Second concurrent infusion | $19.95 | $19.95 | $19.95 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | SJ · Third+ concurrent infusion | $19.95 | $19.95 | $19.95 |
Where North Carolina sits
The same service costs 2.6 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· 34th of 51
$36.31
KS $74.13IL $28.18
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.