How much rates vary
Facilitymedian $2,455 · 10th to 90th $2,455 to $3,162Professionalmedian $2,455 · 10th to 90th $1,413 to $4,169
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 $3,162.28 Median $3,162.28 Typical High $3,162.28 | Facility | None | $3,162.28 | $3,162.28 | $3,162.28 |
Aetna Setting Professional Modifier None Typical Low $2,884.03 Median $3,162.28 Typical High $3,890.45 | Professional | None | $2,884.03 | $3,162.28 | $3,890.45 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | RR · Rental | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Facility Modifier RR · Rental Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | RR · Rental | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $2,089.30 Median $2,454.71 Typical High $2,630.27 | Professional | None | $2,089.30 | $2,454.71 | $2,630.27 |
Cigna 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 |
Medcost Setting Professional Modifier RR · Rental Typical Low $257.04 Median $281.84 Typical High $281.84 | Professional | RR · Rental | $257.04 | $281.84 | $281.84 |
Medcost Setting Facility Modifier None Typical Low $2,691.53 Median $3,162.28 Typical High $3,801.89 | Facility | None | $2,691.53 | $3,162.28 | $3,801.89 |
Medcost Setting Professional Modifier None Typical Low $3,981.07 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,981.07 | $4,168.69 | $4,168.69 |
Medcost Setting Professional Modifier RR · Rental Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | RR · Rental | $416.87 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $1,202.26 Median $1,819.70 Typical High $2,884.03 | Professional | None | $1,202.26 | $1,819.70 | $2,884.03 |
United Setting Professional Modifier RR · Rental Typical Low $147.91 Median $251.19 Typical High $371.54 | Professional | RR · Rental | $147.91 | $251.19 | $371.54 |
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 $2,238.72 Median $2,344.23 Typical High $2,344.23 | Professional | UE · Used equipment | $2,238.72 | $2,344.23 | $2,344.23 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $6,309.57 Median $6,309.57 Typical High $6,309.57 | Professional | 50 · Both sides | $6,309.57 | $6,309.57 | $6,309.57 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | 51 · Multiple procedures | $2,089.30 | $2,089.30 | $2,089.30 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | 80 · Assistant surgeon | $851.14 | $851.14 | $851.14 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 81 · Minimal assistant surgeon | $588.84 | $588.84 | $588.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 82 · Assistant surgeon, no resident | $588.84 | $588.84 | $588.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | AS · PA/NP assist | $588.84 | $588.84 | $588.84 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | SH · Second concurrent infusion | $2,089.30 | $2,089.30 | $2,089.30 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | SJ · Third+ concurrent infusion | $2,089.30 | $2,089.30 | $2,089.30 |
Where North Carolina sits
The same service costs 10.5 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· 24th of 51
$2,455
KS $5,754MT $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.