How much rates vary
Facilitymedian $5,495 · 10th to 90th $5,129 to $5,888Professionalmedian $5,495 · 10th to 90th $2,291 to $6,607
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 $5,888.44 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,888.44 | $5,888.44 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $4,677.35 Median $5,888.44 Typical High $6,309.57 | Professional | None | $4,677.35 | $5,888.44 | $6,309.57 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | RR · Rental | $724.44 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,495.41 | $5,495.41 | $5,495.41 |
Cigna Setting Facility Modifier RR · Rental Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | RR · Rental | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $4,677.35 Median $5,495.41 Typical High $5,495.41 | Professional | None | $4,677.35 | $5,495.41 | $5,495.41 |
Cigna 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 |
Medcost Setting Professional Modifier RR · Rental Typical Low $407.38 Median $436.52 Typical High $436.52 | Professional | RR · Rental | $407.38 | $436.52 | $436.52 |
Medcost Setting Facility Modifier None Typical Low $4,265.80 Median $5,888.44 Typical High $6,606.93 | Facility | None | $4,265.80 | $5,888.44 | $6,606.93 |
Medcost Setting Professional Modifier None Typical Low $6,309.57 Median $6,606.93 Typical High $6,606.93 | Professional | None | $6,309.57 | $6,606.93 | $6,606.93 |
Medcost Setting Professional Modifier RR · Rental Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | RR · Rental | $660.69 | $660.69 | $660.69 |
United Setting Professional Modifier None Typical Low $2,187.76 Median $3,162.28 Typical High $4,466.84 | Professional | None | $2,187.76 | $3,162.28 | $4,466.84 |
United Setting Professional Modifier RR · Rental Typical Low $288.40 Median $436.52 Typical High $616.60 | Professional | RR · Rental | $288.40 | $436.52 | $616.60 |
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 $3,801.89 Median $4,365.16 Typical High $4,466.84 | Professional | UE · Used equipment | $3,801.89 | $4,365.16 | $4,466.84 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $9,772.37 Median $9,772.37 Typical High $9,772.37 | Professional | 50 · Both sides | $9,772.37 | $9,772.37 | $9,772.37 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | 51 · Multiple procedures | $3,311.31 | $3,311.31 | $3,311.31 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | 80 · Assistant surgeon | $1,318.26 | $1,318.26 | $1,318.26 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 81 · Minimal assistant surgeon | $912.01 | $912.01 | $912.01 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | 82 · Assistant surgeon, no resident | $912.01 | $912.01 | $912.01 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | AS · PA/NP assist | $912.01 | $912.01 | $912.01 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | SH · Second concurrent infusion | $3,311.31 | $3,311.31 | $3,311.31 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | SJ · Third+ concurrent infusion | $3,311.31 | $3,311.31 | $3,311.31 |
Where North Carolina sits
The same service costs 11.5 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· 15th of 51
$5,495
KS $10,471MT $912
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.