How much rates vary
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 Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $34.67 | Professional | None | $25.12 | $30.20 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
BCBS Alabama Setting Facility Modifier None Typical Low $186.21 Median $190.55 Typical High $190.55 | Facility | None | $186.21 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $60.26 Typical High $63.10 | Facility | None | $44.67 | $60.26 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $63.10 | Professional | None | $44.67 | $60.26 | $63.10 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $60.26 | Professional | None | $39.81 | $39.81 | $60.26 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier SD · Home infusion nurse Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | SD · Home infusion nurse | $104.71 | $104.71 | $104.71 |
BCBS Alabama Setting Professional Modifier 12 Typical Low $46.77 Median $46.77 Typical High $54.95 | Professional | 12 | $46.77 | $46.77 | $54.95 |
Where Alabama sits
The same service costs 6.6 times more in Louisiana than in Wyoming. 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.
Alabama· 2nd of 51
$186
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.