How much rates vary
Facilitymedian $2,818 · 10th to 90th $2,692 to $3,890Professionalmedian $2,692 · 10th to 90th $1,698 to $4,467
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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $3,090.30 Median $3,890.45 Typical High $4,570.88 | Professional | None | $3,090.30 | $3,890.45 | $4,570.88 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | RR · Rental | $512.86 | $512.86 | $512.86 |
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 Facility Modifier RR · Rental Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | RR · Rental | $269.15 | $269.15 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $2,290.87 Median $2,691.53 Typical High $3,311.31 | Professional | None | $2,290.87 | $2,691.53 | $3,311.31 |
Cigna Setting Professional Modifier RR · Rental Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | RR · Rental | $269.15 | $269.15 | $269.15 |
Medcost Setting Professional Modifier RR · Rental Typical Low $288.40 Median $309.03 Typical High $309.03 | Professional | RR · Rental | $288.40 | $309.03 | $309.03 |
Medcost Setting Facility Modifier None Typical Low $3,019.95 Median $3,890.45 Typical High $4,466.84 | Facility | None | $3,019.95 | $3,890.45 | $4,466.84 |
Medcost Setting Professional Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,466.84 | $4,466.84 | $4,466.84 |
Medcost Setting Professional Modifier RR · Rental Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | RR · Rental | $446.68 | $446.68 | $446.68 |
United Setting Professional Modifier None Typical Low $1,479.11 Median $2,137.96 Typical High $3,162.28 | Professional | None | $1,479.11 | $2,137.96 | $3,162.28 |
United Setting Professional Modifier RR · Rental Typical Low $186.21 Median $309.03 Typical High $446.68 | Professional | RR · Rental | $186.21 | $309.03 | $446.68 |
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 $2,344.23 Median $2,951.21 Typical High $2,951.21 | Professional | UE · Used equipment | $2,344.23 | $2,951.21 | $2,951.21 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Professional | 50 · Both sides | $6,606.93 | $6,606.93 | $6,606.93 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | 51 · Multiple procedures | $2,238.72 | $2,238.72 | $2,238.72 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 80 · Assistant surgeon | $891.25 | $891.25 | $891.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 81 · Minimal assistant surgeon | $616.60 | $616.60 | $616.60 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 82 · Assistant surgeon, no resident | $616.60 | $616.60 | $616.60 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | AS · PA/NP assist | $616.60 | $616.60 | $616.60 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | SH · Second concurrent infusion | $2,238.72 | $2,238.72 | $2,238.72 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | SJ · Third+ concurrent infusion | $2,238.72 | $2,238.72 | $2,238.72 |
Where North Carolina sits
The same service costs 12.6 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· 40th of 51
$2,692
KS $8,128MT $646
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.