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 Facility Modifier None Typical Low $4.37 Median $5.13 Typical High $9.33 | Facility | None | $4.37 | $5.13 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $5.13 Typical High $6.31 | Professional | None | $4.79 | $5.13 | $6.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $7.59 Typical High $26.30 | Professional | None | $4.79 | $7.59 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $6.03 | Professional | None | $4.57 | $4.57 | $6.03 |
Medica Setting Facility Modifier None Typical Low $5.50 Median $18.62 Typical High $194.98 | Facility | None | $5.50 | $18.62 | $194.98 |
Medica Setting Professional Modifier None Typical Low $6.03 Median $9.12 Typical High $36.31 | Professional | None | $6.03 | $9.12 | $36.31 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $14.13 | Professional | None | $6.03 | $7.59 | $14.13 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier HE · Mental health program + HH · Mental health + substance use + RH · Ambulance R to H + SH · Second concurrent infusion Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | HE · Mental health program + HH · Mental health + substance use + RH · Ambulance R to H + SH · Second concurrent infusion | $7.24 | $7.24 | $7.24 |
Where Missouri sits
The same service costs 12.9 times more in Texas than in Vermont. 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.
Missouri· 35th of 51
$7.94
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.