How much rates vary
Facilitymedian $2,692 · 10th to 90th $2,692 to $3,162Professionalmedian $2,692 · 10th to 90th $1,995 to $3,890
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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,630.78 | Professional | None | $2,884.03 | $2,884.03 | $3,630.78 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,187.76 Median $2,187.76 Typical High $2,691.53 | Professional | UE · Used equipment | $2,187.76 | $2,187.76 | $2,691.53 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | RR · Rental | $323.59 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $2,691.53 Median $2,691.53 Typical High $3,235.94 | Professional | None | $2,691.53 | $2,691.53 | $3,235.94 |
Medcost Setting Professional Modifier None Typical Low $2,398.83 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,398.83 | $2,570.40 | $2,570.40 |
Medcost Setting Facility Modifier None Typical Low $2,511.89 Median $2,884.03 Typical High $3,890.45 | Facility | None | $2,511.89 | $2,884.03 | $3,890.45 |
Medcost Setting Professional Modifier None Typical Low $3,630.78 Median $3,890.45 Typical High $3,890.45 | Professional | None | $3,630.78 | $3,890.45 | $3,890.45 |
Medcost Setting Professional Modifier RR · Rental Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | RR · Rental | $389.05 | $389.05 | $389.05 |
United Setting Professional Modifier None Typical Low $1,380.38 Median $2,041.74 Typical High $2,951.21 | Professional | None | $1,380.38 | $2,041.74 | $2,951.21 |
United Setting Professional Modifier RR · Rental Typical Low $138.04 Median $204.17 Typical High $295.12 | Professional | RR · Rental | $138.04 | $204.17 | $295.12 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,023.29 Median $1,513.56 Typical High $2,238.72 | Professional | UE · Used equipment | $1,023.29 | $1,513.56 | $2,238.72 |
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 $5,754.40 Median $5,754.40 Typical High $5,754.40 | Professional | 50 · Both sides | $5,754.40 | $5,754.40 | $5,754.40 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | 51 · Multiple procedures | $1,949.84 | $1,949.84 | $1,949.84 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 80 · Assistant surgeon | $776.25 | $776.25 | $776.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 81 · Minimal assistant surgeon | $537.03 | $537.03 | $537.03 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 82 · Assistant surgeon, no resident | $537.03 | $537.03 | $537.03 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | AS · PA/NP assist | $537.03 | $537.03 | $537.03 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | SH · Second concurrent infusion | $1,949.84 | $1,949.84 | $1,949.84 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | SJ · Third+ concurrent infusion | $1,949.84 | $1,949.84 | $1,949.84 |
Where North Carolina sits
The same service costs 3.2 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· 36th of 51
$2,692
KS $6,607IL $2,042
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.