How much rates vary
Facilitymedian $10,715 · 10th to 90th $10,233 to $12,303Professionalmedian $9,550 · 10th to 90th $4,467 to $12,303
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 $12,302.69 Median $12,302.69 Typical High $12,302.69 | Facility | None | $12,302.69 | $12,302.69 | $12,302.69 |
Aetna Setting Professional Modifier None Typical Low $12,302.69 Median $12,302.69 Typical High $13,803.84 | Professional | None | $12,302.69 | $12,302.69 | $13,803.84 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,737.80 | Facility | None | $1,445.44 | $1,445.44 | $1,737.80 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | RR · Rental | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $10,715.19 | Facility | None | $10,715.19 | $10,715.19 | $10,715.19 |
Cigna Setting Facility Modifier RR · Rental Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | RR · Rental | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $9,120.11 Median $10,715.19 Typical High $10,715.19 | Professional | None | $9,120.11 | $10,715.19 | $10,715.19 |
Cigna Setting Professional Modifier RR · Rental Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | RR · Rental | $1,071.52 | $1,071.52 | $1,071.52 |
Medcost Setting Professional Modifier RR · Rental Typical Low $630.96 Median $676.08 Typical High $676.08 | Professional | RR · Rental | $630.96 | $676.08 | $676.08 |
Medcost Setting Facility Modifier None Typical Low $6,606.93 Median $12,302.69 Typical High $13,489.63 | Facility | None | $6,606.93 | $12,302.69 | $13,489.63 |
Medcost Setting Professional Modifier None Typical Low $9,549.93 Median $10,232.93 Typical High $10,232.93 | Professional | None | $9,549.93 | $10,232.93 | $10,232.93 |
Medcost Setting Professional Modifier RR · Rental Typical Low $1,023.29 Median $1,023.29 Typical High $1,288.25 | Professional | RR · Rental | $1,023.29 | $1,023.29 | $1,288.25 |
United Setting Professional Modifier None Typical Low $3,388.44 Median $5,495.41 Typical High $7,413.10 | Professional | None | $3,388.44 | $5,495.41 | $7,413.10 |
United Setting Professional Modifier RR · Rental Typical Low $501.19 Median $794.33 Typical High $1,023.29 | Professional | RR · Rental | $501.19 | $794.33 | $1,023.29 |
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 $9,120.11 Median $9,120.11 Typical High $11,220.18 | Professional | UE · Used equipment | $9,120.11 | $9,120.11 | $11,220.18 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $15,135.61 Median $15,135.61 Typical High $15,135.61 | Professional | 50 · Both sides | $15,135.61 | $15,135.61 | $15,135.61 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | 51 · Multiple procedures | $5,011.87 | $5,011.87 | $5,011.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | 80 · Assistant surgeon | $2,041.74 | $2,041.74 | $2,041.74 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | 81 · Minimal assistant surgeon | $1,412.54 | $1,412.54 | $1,412.54 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | 82 · Assistant surgeon, no resident | $1,412.54 | $1,412.54 | $1,412.54 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | AS · PA/NP assist | $1,412.54 | $1,412.54 | $1,412.54 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | SH · Second concurrent infusion | $5,011.87 | $5,011.87 | $5,011.87 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | SJ · Third+ concurrent infusion | $5,011.87 | $5,011.87 | $5,011.87 |
Where North Carolina sits
The same service costs 11.0 times more in North Dakota than in Mississippi. 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
$10,233
ND $19,953MS $1,820
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.