How much rates vary
Facilitymedian $2,239 · 10th to 90th $2,239 to $2,818Professionalmedian $2,042 · 10th to 90th $1,202 to $3,548
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 $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $2,691.53 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,691.53 | $2,818.38 | $2,818.38 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | RR · Rental | $371.54 | $371.54 | $371.54 |
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 $1,905.46 Median $2,238.72 Typical High $2,398.83 | Professional | None | $1,905.46 | $2,238.72 | $2,398.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | RR · Rental | $223.87 | $223.87 | $223.87 |
Medcost Setting Professional Modifier RR · Rental Typical Low $218.78 Median $234.42 Typical High $234.42 | Professional | RR · Rental | $218.78 | $234.42 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $2,290.87 Median $2,818.38 Typical High $3,388.44 | Facility | None | $2,290.87 | $2,818.38 | $3,388.44 |
Medcost Setting Professional Modifier None Typical Low $2,041.74 Median $3,548.13 Typical High $3,548.13 | Professional | None | $2,041.74 | $3,548.13 | $3,548.13 |
Medcost Setting Professional Modifier RR · Rental Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | RR · Rental | $354.81 | $354.81 | $354.81 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,584.89 Typical High $2,344.23 | Professional | None | $1,071.52 | $1,584.89 | $2,344.23 |
United Setting Professional Modifier RR · Rental Typical Low $134.90 Median $223.87 Typical High $331.13 | Professional | RR · Rental | $134.90 | $223.87 | $331.13 |
9 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,089.30 Median $2,137.96 Typical High $2,137.96 | Professional | UE · Used equipment | $2,089.30 | $2,137.96 | $2,137.96 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | 50 · Both sides | $5,248.07 | $5,248.07 | $5,248.07 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | 51 · Multiple procedures | $1,778.28 | $1,778.28 | $1,778.28 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 80 · Assistant surgeon | $707.95 | $707.95 | $707.95 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 81 · Minimal assistant surgeon | $489.78 | $489.78 | $489.78 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 82 · Assistant surgeon, no resident | $489.78 | $489.78 | $489.78 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | AS · PA/NP assist | $489.78 | $489.78 | $489.78 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | SH · Second concurrent infusion | $1,778.28 | $1,778.28 | $1,778.28 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | SJ · Third+ concurrent infusion | $1,778.28 | $1,778.28 | $1,778.28 |
Where North Carolina sits
The same service costs 13.5 times more in Kansas than in Montana. 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· 30th of 51
$2,239
KS $5,754MT $427
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.