How much rates vary
Facilitymedian $3,631 · 10th to 90th $3,388 to $3,981Professionalmedian $3,631 · 10th to 90th $1,549 to $4,571
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 $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
Aetna Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $4,265.80 | Professional | None | $3,981.07 | $3,981.07 | $4,265.80 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | RR · Rental | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Facility | None | $3,630.78 | $3,630.78 | $3,630.78 |
Cigna Setting Facility Modifier RR · Rental Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | RR · Rental | $363.08 | $363.08 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $3,090.30 Median $3,630.78 Typical High $3,630.78 | Professional | None | $3,090.30 | $3,630.78 | $3,630.78 |
Cigna Setting Professional Modifier RR · Rental Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | RR · Rental | $363.08 | $363.08 | $363.08 |
Medcost Setting Professional Modifier RR · Rental Typical Low $281.84 Median $302.00 Typical High $302.00 | Professional | RR · Rental | $281.84 | $302.00 | $302.00 |
Medcost Setting Facility Modifier None Typical Low $2,951.21 Median $3,981.07 Typical High $4,570.88 | Facility | None | $2,951.21 | $3,981.07 | $4,570.88 |
Medcost Setting Professional Modifier None Typical Low $4,365.16 Median $4,570.88 Typical High $4,570.88 | Professional | None | $4,365.16 | $4,570.88 | $4,570.88 |
Medcost Setting Professional Modifier RR · Rental Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | RR · Rental | $457.09 | $457.09 | $457.09 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,187.76 Typical High $3,090.30 | Professional | None | $1,513.56 | $2,187.76 | $3,090.30 |
United Setting Professional Modifier RR · Rental Typical Low $194.98 Median $302.00 Typical High $426.58 | Professional | RR · Rental | $194.98 | $302.00 | $426.58 |
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 $2,951.21 Median $2,951.21 Typical High $3,162.28 | Professional | UE · Used equipment | $2,951.21 | $2,951.21 | $3,162.28 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Professional | 50 · Both sides | $6,918.31 | $6,918.31 | $6,918.31 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | 51 · Multiple procedures | $2,290.87 | $2,290.87 | $2,290.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 80 · Assistant surgeon | $912.01 | $912.01 | $912.01 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | 81 · Minimal assistant surgeon | $645.65 | $645.65 | $645.65 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | 82 · Assistant surgeon, no resident | $645.65 | $645.65 | $645.65 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | AS · PA/NP assist | $645.65 | $645.65 | $645.65 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | SH · Second concurrent infusion | $2,290.87 | $2,290.87 | $2,290.87 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | SJ · Third+ concurrent infusion | $2,290.87 | $2,290.87 | $2,290.87 |
Where North Carolina sits
The same service costs 12.6 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
$3,631
KS $8,128MT $646
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.