How much rates vary
Facilitymedian $3,388 · 10th to 90th $3,090 to $3,715Professionalmedian $3,388 · 10th to 90th $1,479 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 $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $3,548.13 Median $3,715.35 Typical High $3,890.45 | Professional | None | $3,548.13 | $3,715.35 | $3,890.45 |
BCBS North Carolina Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $758.58 | Facility | None | $630.96 | $630.96 | $758.58 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | RR · Rental | $467.74 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Cigna Setting Facility Modifier RR · Rental Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | RR · Rental | $338.84 | $338.84 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $2,818.38 Median $3,388.44 Typical High $3,388.44 | Professional | None | $2,818.38 | $3,388.44 | $3,388.44 |
Cigna Setting Professional Modifier RR · Rental Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | RR · Rental | $338.84 | $338.84 | $338.84 |
Medcost Setting Professional Modifier RR · Rental Typical Low $275.42 Median $295.12 Typical High $295.12 | Professional | RR · Rental | $275.42 | $295.12 | $295.12 |
Medcost Setting Facility Modifier None Typical Low $2,884.03 Median $3,715.35 Typical High $4,365.16 | Facility | None | $2,884.03 | $3,715.35 | $4,365.16 |
Medcost Setting Professional Modifier None Typical Low $4,168.69 Median $4,466.84 Typical High $4,466.84 | Professional | None | $4,168.69 | $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 $1,445.44 Median $2,041.74 Typical High $2,951.21 | Professional | None | $1,445.44 | $2,041.74 | $2,951.21 |
United Setting Professional Modifier RR · Rental Typical Low $177.83 Median $281.84 Typical High $398.11 | Professional | RR · Rental | $177.83 | $281.84 | $398.11 |
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 $2,691.53 Median $2,754.23 Typical High $2,754.23 | Professional | UE · Used equipment | $2,691.53 | $2,754.23 | $2,754.23 |
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 $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | 51 · Multiple procedures | $2,187.76 | $2,187.76 | $2,187.76 |
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 $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | SH · Second concurrent infusion | $2,187.76 | $2,187.76 | $2,187.76 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | SJ · Third+ concurrent infusion | $2,187.76 | $2,187.76 | $2,187.76 |
Where North Carolina sits
The same service costs 9.8 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· 17th of 51
$3,388
KS $5,754MT $589
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.