How much rates vary
Facilitymedian $813 · 10th to 90th $676 to $891Professionalmedian $813 · 10th to 90th $550 to $1,349
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 $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,412.54 | Professional | None | $812.83 | $812.83 | $1,412.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $602.56 Median $602.56 Typical High $741.31 | Professional | UE · Used equipment | $602.56 | $602.56 | $741.31 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | RR · Rental | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $891.25 | Facility | None | $676.08 | $676.08 | $891.25 |
Cigna Setting Facility Modifier RR · Rental Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | RR · Rental | $67.61 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $891.25 | Professional | None | $676.08 | $676.08 | $891.25 |
Cigna Setting Professional Modifier RR · Rental Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | RR · Rental | $67.61 | $67.61 | $81.28 |
Medcost Setting Professional Modifier None Typical Low $831.76 Median $912.01 Typical High $912.01 | Professional | None | $831.76 | $912.01 | $912.01 |
Medcost Setting Facility Modifier None Typical Low $812.83 Median $870.96 Typical High $1,258.93 | Facility | None | $812.83 | $870.96 | $1,258.93 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $1,348.96 Typical High $1,348.96 | Professional | None | $1,288.25 | $1,348.96 | $1,348.96 |
Medcost Setting Professional Modifier RR · Rental Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | RR · Rental | $134.90 | $134.90 | $134.90 |
United Setting Professional Modifier None Typical Low $446.68 Median $645.65 Typical High $933.25 | Professional | None | $446.68 | $645.65 | $933.25 |
United Setting Professional Modifier RR · Rental Typical Low $44.67 Median $64.57 Typical High $93.33 | Professional | RR · Rental | $44.67 | $64.57 | $93.33 |
United Setting Professional Modifier UE · Used equipment Typical Low $338.84 Median $489.78 Typical High $691.83 | Professional | UE · Used equipment | $338.84 | $489.78 | $691.83 |
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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | 50 · Both sides | $2,041.74 | $2,041.74 | $2,041.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | 51 · Multiple procedures | $676.08 | $676.08 | $676.08 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 80 · Assistant surgeon | $269.15 | $269.15 | $269.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 81 · Minimal assistant surgeon | $190.55 | $190.55 | $190.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 82 · Assistant surgeon, no resident | $190.55 | $190.55 | $190.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | AS · PA/NP assist | $190.55 | $190.55 | $190.55 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | SH · Second concurrent infusion | $676.08 | $676.08 | $676.08 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | SJ · Third+ concurrent infusion | $676.08 | $676.08 | $676.08 |
Where North Carolina sits
The same service costs 5.4 times more in Kansas 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· 26th of 51
$813
KS $2,951NM $550
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.