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 Facility Modifier None Typical Low $4.79 Median $5.37 Typical High $9.33 | Facility | None | $4.79 | $5.37 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $5.37 Typical High $7.59 | Professional | None | $4.90 | $5.37 | $7.59 |
BCBS Illinois Setting Facility Modifier None Typical Low $11.22 Median $13.49 Typical High $537.03 | Facility | None | $11.22 | $13.49 | $537.03 |
BCBS Illinois Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $40.74 | Professional | None | $33.11 | $33.11 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $12.88 | Facility | None | $7.94 | $7.94 | $12.88 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $11.75 | Professional | None | $6.92 | $6.92 | $11.75 |
Hally Health Setting Professional Modifier None Typical Low $9.55 Median $14.45 Typical High $36.31 | Professional | None | $9.55 | $14.45 | $36.31 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $21.38 | Facility | None | $9.33 | $9.33 | $21.38 |
United Setting Professional Modifier None Typical Low $5.37 Median $8.71 Typical High $12.02 | Professional | None | $5.37 | $8.71 | $12.02 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier SH · Second concurrent infusion Typical Low $7.24 Median $7.24 Typical High $9.33 | Professional | SH · Second concurrent infusion | $7.24 | $7.24 | $9.33 |
Where Illinois sits
The same service costs 12.9 times more in Texas than in North Carolina. 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.
Illinois· 17th of 51
$12.59
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.