How much rates vary
Facilitymedian $1,660 · 10th to 90th $1,660 to $1,995Professionalmedian $2,291 · 10th to 90th $1,318 to $4,074
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 $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $3,388.44 | Professional | None | $1,659.59 | $1,659.59 | $3,388.44 |
BCBS North Carolina Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Professional | None | $7,079.46 | $7,079.46 | $7,079.46 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $3,890.45 Typical High $4,897.79 | Professional | None | $3,630.78 | $3,890.45 | $4,897.79 |
Medcost Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,995.26 | Facility | None | $1,659.59 | $1,659.59 | $1,995.26 |
Medcost Setting Professional Modifier None Typical Low $3,890.45 Median $4,073.80 Typical High $4,073.80 | Professional | None | $3,890.45 | $4,073.80 | $4,073.80 |
Medcost Setting Professional Modifier RR · Rental Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | RR · Rental | $407.38 | $407.38 | $407.38 |
United Setting Professional Modifier None Typical Low $1,047.13 Median $1,548.82 Typical High $3,162.28 | Professional | None | $1,047.13 | $1,548.82 | $3,162.28 |
United Setting Professional Modifier RR · Rental Typical Low $151.36 Median $234.42 Typical High $331.13 | Professional | RR · Rental | $151.36 | $234.42 | $331.13 |
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 $1,380.38 Median $1,380.38 Typical High $1,479.11 | Professional | UE · Used equipment | $1,380.38 | $1,380.38 | $1,479.11 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $6,165.95 Median $6,165.95 Typical High $6,165.95 | Professional | 50 · Both sides | $6,165.95 | $6,165.95 | $6,165.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | 51 · Multiple procedures | $2,041.74 | $2,041.74 | $2,041.74 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 80 · Assistant surgeon | $812.83 | $812.83 | $812.83 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 81 · Minimal assistant surgeon | $575.44 | $575.44 | $575.44 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 82 · Assistant surgeon, no resident | $575.44 | $575.44 | $575.44 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | AS · PA/NP assist | $575.44 | $575.44 | $575.44 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | SH · Second concurrent infusion | $2,041.74 | $2,041.74 | $2,041.74 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | SJ · Third+ concurrent infusion | $2,041.74 | $2,041.74 | $2,041.74 |
Where North Carolina sits
The same service costs 19.5 times more in Kansas than in Illinois. 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· 29th of 51
$1,905
KS $5,754IL $295
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.