How much rates vary
Facilitymedian $5,012 · 10th to 90th $5,012 to $8,913Professionalmedian $5,012 · 10th to 90th $3,236 to $8,913
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 $8,912.51 Median $8,912.51 Typical High $8,912.51 | Facility | None | $8,912.51 | $8,912.51 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $8,128.31 Median $8,912.51 Typical High $10,000.00 | Professional | None | $8,128.31 | $8,912.51 | $10,000.00 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,258.93 | Facility | None | $1,047.13 | $1,047.13 | $1,258.93 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | RR · Rental | $977.24 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $5,370.32 | Professional | None | $4,265.80 | $5,011.87 | $5,370.32 |
Medcost Setting Professional Modifier RR · Rental Typical Low $457.09 Median $489.78 Typical High $489.78 | Professional | RR · Rental | $457.09 | $489.78 | $489.78 |
Medcost Setting Facility Modifier None Typical Low $4,786.30 Median $8,912.51 Typical High $9,772.37 | Facility | None | $4,786.30 | $8,912.51 | $9,772.37 |
Medcost Setting Professional Modifier None Typical Low $7,079.46 Median $7,413.10 Typical High $7,413.10 | Professional | None | $7,079.46 | $7,413.10 | $7,413.10 |
Medcost Setting Professional Modifier RR · Rental Typical Low $741.31 Median $741.31 Typical High $933.25 | Professional | RR · Rental | $741.31 | $741.31 | $933.25 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $3,981.07 Typical High $5,370.32 | Professional | None | $2,511.89 | $3,981.07 | $5,370.32 |
United Setting Professional Modifier RR · Rental Typical Low $363.08 Median $588.84 Typical High $741.31 | Professional | RR · Rental | $363.08 | $588.84 | $741.31 |
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 $6,606.93 Median $6,606.93 Typical High $7,585.78 | Professional | UE · Used equipment | $6,606.93 | $6,606.93 | $7,585.78 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $10,964.78 Median $10,964.78 Typical High $10,964.78 | Professional | 50 · Both sides | $10,964.78 | $10,964.78 | $10,964.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | 51 · Multiple procedures | $3,715.35 | $3,715.35 | $3,715.35 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | 80 · Assistant surgeon | $1,479.11 | $1,479.11 | $1,479.11 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 81 · Minimal assistant surgeon | $1,023.29 | $1,023.29 | $1,023.29 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | 82 · Assistant surgeon, no resident | $1,023.29 | $1,023.29 | $1,023.29 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | AS · PA/NP assist | $1,023.29 | $1,023.29 | $1,023.29 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | SH · Second concurrent infusion | $3,715.35 | $3,715.35 | $3,715.35 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | SJ · Third+ concurrent infusion | $3,715.35 | $3,715.35 | $3,715.35 |
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· 37th of 51
$5,012
ND $14,454MT $1,288
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.