How much rates vary
Facilitymedian $7,413 · 10th to 90th $6,918 to $8,511Professionalmedian $6,761 · 10th to 90th $3,090 to $8,511
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 $8,511.38 Median $8,511.38 Typical High $8,511.38 | Facility | None | $8,511.38 | $8,511.38 | $8,511.38 |
Aetna Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $9,549.93 | Professional | None | $8,511.38 | $8,511.38 | $9,549.93 |
BCBS North Carolina Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,202.26 | Facility | None | $1,000.00 | $1,000.00 | $1,202.26 |
BCBS North Carolina Setting Professional Modifier RR · Rental Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | RR · Rental | $933.25 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $7,413.10 Median $7,413.10 Typical High $7,413.10 | Facility | None | $7,413.10 | $7,413.10 | $7,413.10 |
Cigna Setting Facility Modifier RR · Rental Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | RR · Rental | $741.31 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $6,309.57 Median $7,413.10 Typical High $7,413.10 | Professional | None | $6,309.57 | $7,413.10 | $7,413.10 |
Cigna Setting Professional Modifier RR · Rental Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | RR · Rental | $741.31 | $741.31 | $741.31 |
Medcost Setting Professional Modifier RR · Rental Typical Low $436.52 Median $467.74 Typical High $467.74 | Professional | RR · Rental | $436.52 | $467.74 | $467.74 |
Medcost Setting Facility Modifier None Typical Low $4,570.88 Median $8,511.38 Typical High $9,332.54 | Facility | None | $4,570.88 | $8,511.38 | $9,332.54 |
Medcost Setting Professional Modifier None Typical Low $6,760.83 Median $6,918.31 Typical High $6,918.31 | Professional | None | $6,760.83 | $6,918.31 | $6,918.31 |
Medcost Setting Professional Modifier RR · Rental Typical Low $691.83 Median $691.83 Typical High $891.25 | Professional | RR · Rental | $691.83 | $691.83 | $891.25 |
United Setting Professional Modifier None Typical Low $2,398.83 Median $3,801.89 Typical High $5,128.61 | Professional | None | $2,398.83 | $3,801.89 | $5,128.61 |
United Setting Professional Modifier RR · Rental Typical Low $346.74 Median $562.34 Typical High $707.95 | Professional | RR · Rental | $346.74 | $562.34 | $707.95 |
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 $6,309.57 Median $6,309.57 Typical High $7,762.47 | Professional | UE · Used equipment | $6,309.57 | $6,309.57 | $7,762.47 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $10,232.93 Median $10,232.93 Typical High $10,232.93 | Professional | 50 · Both sides | $10,232.93 | $10,232.93 | $10,232.93 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | 51 · Multiple procedures | $3,467.37 | $3,467.37 | $3,467.37 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | 80 · Assistant surgeon | $1,380.38 | $1,380.38 | $1,380.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 81 · Minimal assistant surgeon | $954.99 | $954.99 | $954.99 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 82 · Assistant surgeon, no resident | $954.99 | $954.99 | $954.99 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | AS · PA/NP assist | $954.99 | $954.99 | $954.99 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | SH · Second concurrent infusion | $3,467.37 | $3,467.37 | $3,467.37 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | SJ · Third+ concurrent infusion | $3,467.37 | $3,467.37 | $3,467.37 |
Where North Carolina sits
The same service costs 10.7 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· 27th of 51
$6,918
ND $13,804MS $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.