How much rates vary
Facilitymedian $33 · 10th to 90th $32 to $347Professionalmedian $269 · 10th to 90th $23 to $347
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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $346.74 Typical High $346.74 | Professional | None | $263.03 | $346.74 | $346.74 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $257.04 Typical High $257.04 | Professional | UE · Used equipment | $199.53 | $257.04 | $257.04 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | RR · Rental | $38.90 | $38.90 | $38.90 |
BCBS North Carolina Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $66.07 | Facility | None | $54.95 | $54.95 | $66.07 |
BCBS North Carolina Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $79.43 | Professional | None | $70.79 | $70.79 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $33.11 | Facility | None | $31.62 | $31.62 | $33.11 |
Cigna Setting Facility Modifier RR · Rental Typical Low $31.62 Median $31.62 Typical High $33.88 | Facility | RR · Rental | $31.62 | $31.62 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $316.23 | Professional | None | $269.15 | $269.15 | $316.23 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.92 Median $26.92 Typical High $31.62 | Professional | RR · Rental | $26.92 | $26.92 | $31.62 |
Medcost Setting Professional Modifier RR · Rental Typical Low $36.31 Median $36.31 Typical High $46.77 | Professional | RR · Rental | $36.31 | $36.31 | $46.77 |
Medcost Setting Facility Modifier None Typical Low $15.14 Median $346.74 Typical High $416.87 | Facility | None | $15.14 | $346.74 | $416.87 |
Medcost Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Medcost Setting Professional Modifier RR · Rental Typical Low $38.90 Median $51.29 Typical High $53.70 | Professional | RR · Rental | $38.90 | $51.29 | $53.70 |
United Setting Professional Modifier None Typical Low $18.20 Median $28.18 Typical High $37.15 | Professional | None | $18.20 | $28.18 | $37.15 |
United Setting Professional Modifier RR · Rental Typical Low $20.89 Median $28.18 Typical High $39.81 | Professional | RR · Rental | $20.89 | $28.18 | $39.81 |
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 $812.83 Median $812.83 Typical High $812.83 | Professional | 50 · Both sides | $812.83 | $812.83 | $812.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 51 · Multiple procedures | $269.15 | $269.15 | $269.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 80 · Assistant surgeon | $109.65 | $109.65 | $109.65 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 81 · Minimal assistant surgeon | $75.86 | $75.86 | $75.86 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 82 · Assistant surgeon, no resident | $75.86 | $75.86 | $75.86 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | AS · PA/NP assist | $75.86 | $75.86 | $75.86 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | SH · Second concurrent infusion | $269.15 | $269.15 | $269.15 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | SJ · Third+ concurrent infusion | $269.15 | $269.15 | $269.15 |
Where North Carolina sits
The same service costs 30.2 times more in Wyoming than in Hawaii. 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· 16th of 51
$269
WY $676HI $22.39
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.