How much rates vary
Facilitymedian $4,266 · 10th to 90th $3,981 to $4,677Professionalmedian $4,266 · 10th to 90th $1,862 to $5,495
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 $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Aetna Setting Professional Modifier None Typical Low $4,073.80 Median $4,677.35 Typical High $4,677.35 | Professional | None | $4,073.80 | $4,677.35 | $4,677.35 |
BCBS North Carolina Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $933.25 | Facility | None | $776.25 | $776.25 | $933.25 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | RR · Rental | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Cigna Setting Facility Modifier RR · Rental Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | RR · Rental | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $4,265.80 Typical High $4,265.80 | Professional | None | $3,630.78 | $4,265.80 | $4,265.80 |
Cigna Setting Professional Modifier RR · Rental Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | RR · Rental | $426.58 | $426.58 | $426.58 |
Medcost Setting Professional Modifier RR · Rental Typical Low $338.84 Median $363.08 Typical High $363.08 | Professional | RR · Rental | $338.84 | $363.08 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $3,548.13 Median $4,677.35 Typical High $5,495.41 | Facility | None | $3,548.13 | $4,677.35 | $5,495.41 |
Medcost Setting Professional Modifier None Typical Low $5,248.07 Median $5,495.41 Typical High $5,495.41 | Professional | None | $5,248.07 | $5,495.41 | $5,495.41 |
Medcost 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 |
United Setting Professional Modifier None Typical Low $1,819.70 Median $2,570.40 Typical High $3,630.78 | Professional | None | $1,819.70 | $2,570.40 | $3,630.78 |
United Setting Professional Modifier RR · Rental Typical Low $229.09 Median $354.81 Typical High $501.19 | Professional | RR · Rental | $229.09 | $354.81 | $501.19 |
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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | UE · Used equipment | $3,467.37 | $3,467.37 | $3,467.37 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $8,128.31 Median $8,128.31 Typical High $8,128.31 | Professional | 50 · Both sides | $8,128.31 | $8,128.31 | $8,128.31 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | 51 · Multiple procedures | $2,754.23 | $2,754.23 | $2,754.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | 80 · Assistant surgeon | $1,096.48 | $1,096.48 | $1,096.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 81 · Minimal assistant surgeon | $758.58 | $758.58 | $758.58 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | 82 · Assistant surgeon, no resident | $758.58 | $758.58 | $758.58 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | AS · PA/NP assist | $758.58 | $758.58 | $758.58 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | SH · Second concurrent infusion | $2,754.23 | $2,754.23 | $2,754.23 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | SJ · Third+ concurrent infusion | $2,754.23 | $2,754.23 | $2,754.23 |
Where North Carolina sits
The same service costs 11.0 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· 16th of 51
$4,266
KS $8,128IL $741
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.