How much rates vary
Facilitymedian $2,399 · 10th to 90th $2,291 to $3,236Professionalmedian $2,692 · 10th to 90th $1,380 to $4,266
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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $2,754.23 Median $3,019.95 Typical High $3,311.31 | Professional | None | $2,754.23 | $3,019.95 | $3,311.31 |
Ambetter Setting Professional Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $6,025.60 | Professional | None | $6,025.60 | $6,025.60 | $6,025.60 |
BCBS North Carolina 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 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $3,235.94 | Facility | None | $2,290.87 | $2,290.87 | $3,235.94 |
Cigna Setting Facility Modifier RR · Rental Typical Low $229.09 Median $229.09 Typical High $323.59 | Facility | RR · Rental | $229.09 | $229.09 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $1,949.84 Median $2,290.87 Typical High $3,235.94 | Professional | None | $1,949.84 | $2,290.87 | $3,235.94 |
Cigna Setting Professional Modifier RR · Rental Typical Low $229.09 Median $229.09 Typical High $302.00 | Professional | RR · Rental | $229.09 | $229.09 | $302.00 |
Medcost Setting Professional Modifier RR · Rental Typical Low $263.03 Median $281.84 Typical High $281.84 | Professional | RR · Rental | $263.03 | $281.84 | $281.84 |
Medcost Setting Facility Modifier None Typical Low $2,754.23 Median $3,019.95 Typical High $3,630.78 | Facility | None | $2,754.23 | $3,019.95 | $3,630.78 |
Medcost Setting Professional Modifier None Typical Low $3,981.07 Median $4,265.80 Typical High $4,265.80 | Professional | None | $3,981.07 | $4,265.80 | $4,265.80 |
Medcost 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 |
United Setting Professional Modifier None Typical Low $1,148.15 Median $1,778.28 Typical High $2,818.38 | Professional | None | $1,148.15 | $1,778.28 | $2,818.38 |
United Setting Professional Modifier RR · Rental Typical Low $144.54 Median $239.88 Typical High $363.08 | Professional | RR · Rental | $144.54 | $239.88 | $363.08 |
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 $2,041.74 Median $2,290.87 Typical High $2,290.87 | Professional | UE · Used equipment | $2,041.74 | $2,290.87 | $2,290.87 |
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 10.7 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· 18th of 51
$2,570
KS $5,754MT $537
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.