How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $30.20 Median $30.20 Typical High $33.11 | Professional | None | $30.20 | $30.20 | $33.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 52 · Reduced service | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.03 |
CareFirst Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $47.86 | Professional | None | $43.65 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $60.26 | Facility | None | $44.67 | $44.67 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $64.57 | Professional | None | $44.67 | $60.26 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $91.20 Typical High $154.88 | Professional | None | $50.12 | $91.20 | $154.88 |
Wellpoint Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $89.13 | Professional | None | $39.81 | $39.81 | $89.13 |
1 more rate 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier SH · Second concurrent infusion Typical Low $50.12 Median $50.12 Typical High $60.26 | Professional | SH · Second concurrent infusion | $50.12 | $50.12 | $60.26 |
Where Maryland 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.
Maryland· 27th of 51
$43.65
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.