How much rates vary
Facilitymedian $4,365 · 10th to 90th $3,890 to $7,244Professionalmedian $4,365 · 10th to 90th $2,399 to $7,244
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 $7,244.36 Median $7,244.36 Typical High $7,244.36 | Facility | None | $7,244.36 | $7,244.36 | $7,244.36 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $7,244.36 Typical High $8,511.38 | Professional | None | $3,890.45 | $7,244.36 | $8,511.38 |
BCBS North Carolina Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $1,023.29 | Facility | None | $851.14 | $851.14 | $1,023.29 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | RR · Rental | $776.25 | $776.25 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $4,365.16 Typical High $4,365.16 | Facility | None | $776.25 | $4,365.16 | $4,365.16 |
Cigna Setting Facility Modifier RR · Rental Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | RR · Rental | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $4,365.16 Typical High $4,365.16 | Professional | None | $776.25 | $4,365.16 | $4,365.16 |
Cigna Setting Professional Modifier RR · Rental Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | RR · Rental | $436.52 | $436.52 | $436.52 |
Medcost Setting Professional Modifier RR · Rental Typical Low $371.54 Median $398.11 Typical High $398.11 | Professional | RR · Rental | $371.54 | $398.11 | $398.11 |
Medcost Setting Facility Modifier None Typical Low $3,890.45 Median $7,244.36 Typical High $7,943.28 | Facility | None | $3,890.45 | $7,244.36 | $7,943.28 |
Medcost Setting Professional Modifier None Typical Low $5,623.41 Median $5,888.44 Typical High $5,888.44 | Professional | None | $5,623.41 | $5,888.44 | $5,888.44 |
Medcost Setting Professional Modifier RR · Rental Typical Low $588.84 Median $588.84 Typical High $758.58 | Professional | RR · Rental | $588.84 | $588.84 | $758.58 |
United Setting Professional Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $4,365.16 | Professional | None | $1,995.26 | $3,235.94 | $4,365.16 |
United Setting Professional Modifier RR · Rental Typical Low $295.12 Median $467.74 Typical High $602.56 | Professional | RR · Rental | $295.12 | $467.74 | $602.56 |
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 $2,884.03 Median $5,370.32 Typical High $6,025.60 | Professional | UE · Used equipment | $2,884.03 | $5,370.32 | $6,025.60 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $8,912.51 Median $8,912.51 Typical High $8,912.51 | Professional | 50 · Both sides | $8,912.51 | $8,912.51 | $8,912.51 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | 51 · Multiple procedures | $2,951.21 | $2,951.21 | $2,951.21 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | 80 · Assistant surgeon | $1,202.26 | $1,202.26 | $1,202.26 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 81 · Minimal assistant surgeon | $831.76 | $831.76 | $831.76 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | 82 · Assistant surgeon, no resident | $831.76 | $831.76 | $831.76 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | AS · PA/NP assist | $831.76 | $831.76 | $831.76 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | SH · Second concurrent infusion | $2,951.21 | $2,951.21 | $2,951.21 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | SJ · Third+ concurrent infusion | $2,951.21 | $2,951.21 | $2,951.21 |
Where North Carolina sits
The same service costs 11.2 times more in North Dakota 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· 38th of 51
$4,365
ND $11,749MT $1,047
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.