How much rates vary
Facilitymedian $5,623 · 10th to 90th $3,715 to $5,754Professionalmedian $5,370 · 10th to 90th $2,089 to $5,754
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 $5,754.40 Median $5,754.40 Typical High $5,754.40 | Facility | None | $5,754.40 | $5,754.40 | $5,754.40 |
Aetna Setting Professional Modifier None Typical Low $5,011.87 Median $5,754.40 Typical High $6,165.95 | Professional | None | $5,011.87 | $5,754.40 | $6,165.95 |
BCBS North Carolina Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $954.99 | Facility | None | $794.33 | $794.33 | $954.99 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | RR · Rental | $691.83 | $691.83 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Facility | None | $5,623.41 | $5,623.41 | $5,623.41 |
Cigna Setting Facility Modifier RR · Rental Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | RR · Rental | $562.34 | $562.34 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $4,786.30 Median $5,623.41 Typical High $5,623.41 | Professional | None | $4,786.30 | $5,623.41 | $5,623.41 |
Cigna Setting Professional Modifier RR · Rental Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | RR · Rental | $562.34 | $562.34 | $562.34 |
Medcost Setting Professional Modifier RR · Rental Typical Low $346.74 Median $371.54 Typical High $371.54 | Professional | RR · Rental | $346.74 | $371.54 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $3,630.78 Median $5,754.40 Typical High $6,165.95 | Facility | None | $3,630.78 | $5,754.40 | $6,165.95 |
Medcost Setting Professional Modifier None Typical Low $5,370.32 Median $5,623.41 Typical High $5,623.41 | Professional | None | $5,370.32 | $5,623.41 | $5,623.41 |
Medcost Setting Professional Modifier RR · Rental Typical Low $562.34 Median $562.34 Typical High $575.44 | Professional | RR · Rental | $562.34 | $562.34 | $575.44 |
United Setting Professional Modifier None Typical Low $1,905.46 Median $2,884.03 Typical High $4,073.80 | Professional | None | $1,905.46 | $2,884.03 | $4,073.80 |
United Setting Professional Modifier RR · Rental Typical Low $269.15 Median $407.38 Typical High $602.56 | Professional | RR · Rental | $269.15 | $407.38 | $602.56 |
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 $4,265.80 Median $4,265.80 Typical High $4,677.35 | Professional | UE · Used equipment | $4,265.80 | $4,265.80 | $4,677.35 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | 50 · Both sides | $8,317.64 | $8,317.64 | $8,317.64 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | 51 · Multiple procedures | $2,818.38 | $2,818.38 | $2,818.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | 80 · Assistant surgeon | $1,122.02 | $1,122.02 | $1,122.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 81 · Minimal assistant surgeon | $776.25 | $776.25 | $776.25 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | 82 · Assistant surgeon, no resident | $776.25 | $776.25 | $776.25 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | AS · PA/NP assist | $776.25 | $776.25 | $776.25 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | SH · Second concurrent infusion | $2,818.38 | $2,818.38 | $2,818.38 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | SJ · Third+ concurrent infusion | $2,818.38 | $2,818.38 | $2,818.38 |
Where North Carolina sits
The same service costs 12.0 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· 12th of 51
$5,370
KS $10,471MT $871
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.