How much rates vary
Facilitymedian $6,457 · 10th to 90th $4,467 to $6,607Professionalmedian $6,310 · 10th to 90th $2,692 to $6,607
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 $6,606.93 Median $6,606.93 Typical High $6,606.93 | Facility | None | $6,606.93 | $6,606.93 | $6,606.93 |
Aetna Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $7,244.36 | Professional | None | $6,606.93 | $6,606.93 | $7,244.36 |
BCBS North Carolina Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $1,122.02 | Facility | None | $933.25 | $933.25 | $1,122.02 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | RR · Rental | $794.33 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Facility | None | $6,456.54 | $6,456.54 | $6,456.54 |
Cigna Setting Facility Modifier RR · Rental Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | RR · Rental | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $4,786.30 Median $6,456.54 Typical High $6,456.54 | Professional | None | $4,786.30 | $6,456.54 | $6,456.54 |
Cigna Setting Professional Modifier RR · Rental Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | RR · Rental | $645.65 | $645.65 | $645.65 |
Medcost Setting Professional Modifier RR · Rental Typical Low $407.38 Median $436.52 Typical High $436.52 | Professional | RR · Rental | $407.38 | $436.52 | $436.52 |
Medcost Setting Facility Modifier None Typical Low $4,265.80 Median $6,606.93 Typical High $7,079.46 | Facility | None | $4,265.80 | $6,606.93 | $7,079.46 |
Medcost Setting Professional Modifier None Typical Low $6,309.57 Median $6,606.93 Typical High $7,244.36 | Professional | None | $6,309.57 | $6,606.93 | $7,244.36 |
Medcost Setting Professional Modifier RR · Rental Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | RR · Rental | $660.69 | $660.69 | $660.69 |
United Setting Professional Modifier None Typical Low $2,238.72 Median $3,388.44 Typical High $4,677.35 | Professional | None | $2,238.72 | $3,388.44 | $4,677.35 |
United Setting Professional Modifier RR · Rental Typical Low $309.03 Median $467.74 Typical High $707.95 | Professional | RR · Rental | $309.03 | $467.74 | $707.95 |
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 $4,897.79 Median $4,897.79 Typical High $5,888.44 | Professional | UE · Used equipment | $4,897.79 | $4,897.79 | $5,888.44 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $9,772.37 Median $9,772.37 Typical High $10,715.19 | Professional | 50 · Both sides | $9,772.37 | $9,772.37 | $10,715.19 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $3,311.31 Median $3,311.31 Typical High $3,630.78 | Professional | 51 · Multiple procedures | $3,311.31 | $3,311.31 | $3,630.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1,318.26 Median $1,318.26 Typical High $1,445.44 | Professional | 80 · Assistant surgeon | $1,318.26 | $1,318.26 | $1,445.44 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $912.01 Median $912.01 Typical High $1,000.00 | Professional | 81 · Minimal assistant surgeon | $912.01 | $912.01 | $1,000.00 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $912.01 Median $912.01 Typical High $1,000.00 | Professional | 82 · Assistant surgeon, no resident | $912.01 | $912.01 | $1,000.00 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $912.01 Median $912.01 Typical High $1,000.00 | Professional | AS · PA/NP assist | $912.01 | $912.01 | $1,000.00 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $3,311.31 Median $3,311.31 Typical High $3,630.78 | Professional | SH · Second concurrent infusion | $3,311.31 | $3,311.31 | $3,630.78 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $3,311.31 Median $3,311.31 Typical High $3,630.78 | Professional | SJ · Third+ concurrent infusion | $3,311.31 | $3,311.31 | $3,630.78 |
Where North Carolina sits
The same service costs 9.3 times more in North Dakota 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· 12th of 51
$6,457
ND $10,715MT $1,148
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.