How much rates vary
Facilitymedian $76 · 10th to 90th $74 to $83Professionalmedian $74 · 10th to 90th $55 to $100
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 $66.07 Median $83.18 Typical High $104.71 | Professional | None | $66.07 | $83.18 | $104.71 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $61.66 Typical High $77.62 | Professional | UE · Used equipment | $61.66 | $61.66 | $77.62 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | RR · Rental | $10.23 | $10.23 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $89.13 | Professional | None | $74.13 | $74.13 | $89.13 |
Medcost Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $69.18 | Professional | None | $64.57 | $69.18 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $57.54 Median $83.18 Typical High $100.00 | Facility | None | $57.54 | $83.18 | $100.00 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $100.00 | Professional | None | $89.13 | $89.13 | $100.00 |
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 $63.10 Typical High $89.13 | Professional | None | $40.74 | $63.10 | $89.13 |
United Setting Professional Modifier RR · Rental Typical Low $4.17 Median $6.31 Typical High $8.91 | Professional | RR · Rental | $4.17 | $6.31 | $8.91 |
United Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $46.77 Typical High $66.07 | Professional | UE · Used equipment | $30.90 | $46.77 | $66.07 |
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 $134.90 Median $134.90 Typical High $134.90 | Professional | 50 · Both sides | $134.90 | $134.90 | $134.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 51 · Multiple procedures | $44.67 | $44.67 | $44.67 |
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 $12.59 Median $12.59 Typical High $12.59 | Professional | 81 · Minimal assistant surgeon | $12.59 | $12.59 | $12.59 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 82 · Assistant surgeon, no resident | $12.59 | $12.59 | $12.59 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | AS · PA/NP assist | $12.59 | $12.59 | $12.59 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | SH · Second concurrent infusion | $44.67 | $44.67 | $44.67 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | SJ · Third+ concurrent infusion | $44.67 | $44.67 | $44.67 |
Where North Carolina sits
The same service costs 3.0 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· 40th of 51
$74.13
KS $182IL $60.26
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.