How much rates vary
Facilitymedian $1,778 · 10th to 90th $1,778 to $2,138Professionalmedian $1,778 · 10th to 90th $1,230 to $2,455
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 $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,187.76 | Professional | None | $1,778.28 | $1,778.28 | $2,187.76 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,318.26 Typical High $1,621.81 | Professional | UE · Used equipment | $1,318.26 | $1,318.26 | $1,621.81 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,818.38 | Facility | None | $2,344.23 | $2,344.23 | $2,818.38 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | RR · Rental | $213.80 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,089.30 | Facility | None | $1,778.28 | $1,778.28 | $2,089.30 |
Cigna Setting Facility Modifier RR · Rental Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | RR · Rental | $177.83 | $177.83 | $177.83 |
Cigna Setting Facility Modifier UE · Used equipment Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | UE · Used equipment | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $2,089.30 | Professional | None | $1,778.28 | $1,778.28 | $2,089.30 |
Cigna Setting Professional Modifier RR · Rental Typical Low $177.83 Median $177.83 Typical High $190.55 | Professional | RR · Rental | $177.83 | $177.83 | $190.55 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | UE · Used equipment | $1,318.26 | $1,318.26 | $1,318.26 |
Medcost Setting Professional Modifier None Typical Low $1,548.82 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,548.82 | $1,659.59 | $1,659.59 |
Medcost Setting Facility Modifier None Typical Low $1,621.81 Median $1,778.28 Typical High $2,454.71 | Facility | None | $1,621.81 | $1,778.28 | $2,454.71 |
Medcost Setting Professional Modifier None Typical Low $2,344.23 Median $2,454.71 Typical High $2,454.71 | Professional | None | $2,344.23 | $2,454.71 | $2,454.71 |
Medcost Setting Professional Modifier RR · Rental Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | RR · Rental | $245.47 | $245.47 | $245.47 |
United Setting Professional Modifier None Typical Low $831.76 Median $1,318.26 Typical High $1,862.09 | Professional | None | $831.76 | $1,318.26 | $1,862.09 |
United Setting Professional Modifier RR · Rental Typical Low $83.18 Median $131.83 Typical High $186.21 | Professional | RR · Rental | $83.18 | $131.83 | $186.21 |
United Setting Professional Modifier UE · Used equipment Typical Low $630.96 Median $977.24 Typical High $1,412.54 | Professional | UE · Used equipment | $630.96 | $977.24 | $1,412.54 |
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 $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | 50 · Both sides | $3,715.35 | $3,715.35 | $3,715.35 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | 51 · Multiple procedures | $1,230.27 | $1,230.27 | $1,230.27 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 80 · Assistant surgeon | $489.78 | $489.78 | $489.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 81 · Minimal assistant surgeon | $346.74 | $346.74 | $346.74 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 82 · Assistant surgeon, no resident | $346.74 | $346.74 | $346.74 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | AS · PA/NP assist | $346.74 | $346.74 | $346.74 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | SH · Second concurrent infusion | $1,230.27 | $1,230.27 | $1,230.27 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | SJ · Third+ concurrent infusion | $1,230.27 | $1,230.27 | $1,230.27 |
Where North Carolina sits
The same service costs 4.7 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· 35th of 51
$1,778
KS $5,888IL $1,259
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.