How much rates vary
Facilitymedian $2,239 · 10th to 90th $1,862 to $2,344Professionalmedian $1,905 · 10th to 90th $1,288 to $2,512
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 $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Aetna Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $2,570.40 | Professional | None | $1,862.09 | $1,862.09 | $2,570.40 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,412.54 Median $1,412.54 Typical High $1,737.80 | Professional | UE · Used equipment | $1,412.54 | $1,412.54 | $1,737.80 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | RR · Rental | $208.93 | $208.93 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Cigna Setting Facility Modifier RR · Rental Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | RR · Rental | $223.87 | $223.87 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,089.30 | $2,238.72 | $2,238.72 |
Cigna Setting Professional Modifier RR · Rental Typical Low $208.93 Median $223.87 Typical High $223.87 | Professional | RR · Rental | $208.93 | $223.87 | $223.87 |
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 $1,862.09 Typical High $2,511.89 | Facility | None | $1,621.81 | $1,862.09 | $2,511.89 |
Medcost Setting Professional Modifier None Typical Low $2,398.83 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,398.83 | $2,511.89 | $2,511.89 |
Medcost Setting Professional Modifier RR · Rental Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | RR · Rental | $251.19 | $251.19 | $251.19 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,318.26 Typical High $1,905.46 | Professional | None | $891.25 | $1,318.26 | $1,905.46 |
United Setting Professional Modifier RR · Rental Typical Low $89.13 Median $131.83 Typical High $190.55 | Professional | RR · Rental | $89.13 | $131.83 | $190.55 |
United Setting Professional Modifier UE · Used equipment Typical Low $660.69 Median $1,000.00 Typical High $1,445.44 | Professional | UE · Used equipment | $660.69 | $1,000.00 | $1,445.44 |
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | 51 · Multiple procedures | $1,258.93 | $1,258.93 | $1,258.93 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 80 · Assistant surgeon | $501.19 | $501.19 | $501.19 |
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | SH · Second concurrent infusion | $1,258.93 | $1,258.93 | $1,258.93 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | SJ · Third+ concurrent infusion | $1,258.93 | $1,258.93 | $1,258.93 |
Where North Carolina sits
The same service costs 3.5 times more in Kansas than in Rhode Island. 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· 18th of 51
$2,188
KS $5,248RI $1,514
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.