How much rates vary
Facilitymedian $4,169 · 10th to 90th $3,715 to $4,467Professionalmedian $4,169 · 10th to 90th $1,738 to $5,129
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 $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $4,466.84 Typical High $4,786.30 | Professional | None | $3,890.45 | $4,466.84 | $4,786.30 |
BCBS North Carolina Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $870.96 | Facility | None | $724.44 | $724.44 | $870.96 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | RR · Rental | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
Cigna Setting Facility Modifier RR · Rental Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | RR · Rental | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $4,168.69 Typical High $4,168.69 | Professional | None | $3,467.37 | $4,168.69 | $4,168.69 |
Cigna Setting Professional Modifier RR · Rental Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | RR · Rental | $416.87 | $416.87 | $416.87 |
Medcost Setting Professional Modifier RR · Rental Typical Low $316.23 Median $338.84 Typical High $338.84 | Professional | RR · Rental | $316.23 | $338.84 | $338.84 |
Medcost Setting Facility Modifier None Typical Low $3,311.31 Median $4,466.84 Typical High $5,128.61 | Facility | None | $3,311.31 | $4,466.84 | $5,128.61 |
Medcost Setting Professional Modifier None Typical Low $4,897.79 Median $5,128.61 Typical High $5,128.61 | Professional | None | $4,897.79 | $5,128.61 | $5,128.61 |
Medcost 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 |
United Setting Professional Modifier None Typical Low $1,659.59 Median $2,398.83 Typical High $3,388.44 | Professional | None | $1,659.59 | $2,398.83 | $3,388.44 |
United Setting Professional Modifier RR · Rental Typical Low $218.78 Median $338.84 Typical High $478.63 | Professional | RR · Rental | $218.78 | $338.84 | $478.63 |
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 $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | UE · Used equipment | $3,311.31 | $3,311.31 | $3,311.31 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $7,585.78 Median $7,585.78 Typical High $7,585.78 | Professional | 50 · Both sides | $7,585.78 | $7,585.78 | $7,585.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | 51 · Multiple procedures | $2,570.40 | $2,570.40 | $2,570.40 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 80 · Assistant surgeon | $1,023.29 | $1,023.29 | $1,023.29 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 81 · Minimal assistant surgeon | $707.95 | $707.95 | $707.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 82 · Assistant surgeon, no resident | $707.95 | $707.95 | $707.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | AS · PA/NP assist | $707.95 | $707.95 | $707.95 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | SH · Second concurrent infusion | $2,570.40 | $2,570.40 | $2,570.40 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | SJ · Third+ concurrent infusion | $2,570.40 | $2,570.40 | $2,570.40 |
Where North Carolina sits
The same service costs 11.7 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· 16th of 51
$4,169
KS $8,128MT $692
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.