How much rates vary
Facilitymedian $23 · 10th to 90th $22 to $30Professionalmedian $22 · 10th to 90th $13 to $32
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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $23.44 Typical High $32.36 | Professional | None | $12.02 | $23.44 | $32.36 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $8.91 Median $17.78 Typical High $22.91 | Professional | UE · Used equipment | $8.91 | $17.78 | $22.91 |
BCBS North Carolina Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $36.31 | Facility | None | $30.20 | $30.20 | $36.31 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | RR · Rental | $3.02 | $3.02 | $3.02 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $29.51 | Facility | None | $22.39 | $22.39 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $29.51 | Professional | None | $22.39 | $22.39 | $29.51 |
Medcost Setting Professional Modifier None Typical Low $19.50 Median $21.38 Typical High $21.38 | Professional | None | $19.50 | $21.38 | $21.38 |
Medcost Setting Facility Modifier None Typical Low $11.48 Median $23.44 Typical High $31.62 | Facility | None | $11.48 | $23.44 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
Medcost Setting Professional Modifier RR · Rental Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | RR · Rental | $3.16 | $3.16 | $3.16 |
United Setting Professional Modifier None Typical Low $12.30 Median $19.05 Typical High $26.92 | Professional | None | $12.30 | $19.05 | $26.92 |
United Setting Professional Modifier RR · Rental Typical Low $1.23 Median $1.91 Typical High $2.69 | Professional | RR · Rental | $1.23 | $1.91 | $2.69 |
United Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $14.13 Typical High $19.95 | Professional | UE · Used equipment | $9.12 | $14.13 | $19.95 |
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 $47.86 Median $47.86 Typical High $47.86 | Professional | 50 · Both sides | $47.86 | $47.86 | $47.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 51 · Multiple procedures | $15.85 | $15.85 | $15.85 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | 80 · Assistant surgeon | $6.31 | $6.31 | $6.31 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | 81 · Minimal assistant surgeon | $4.47 | $4.47 | $4.47 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | 82 · Assistant surgeon, no resident | $4.47 | $4.47 | $4.47 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | AS · PA/NP assist | $4.47 | $4.47 | $4.47 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | SH · Second concurrent infusion | $15.85 | $15.85 | $15.85 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | SJ · Third+ concurrent infusion | $15.85 | $15.85 | $15.85 |
Where North Carolina sits
The same service costs 2.4 times more in Hawaii than in New Mexico. 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· 41st of 51
$22.39
HI $38.90NM $16.22
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.