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 $4.07 Median $5.13 Typical High $9.33 | Facility | None | $4.07 | $5.13 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $1.51 Median $4.79 Typical High $6.17 | Professional | None | $1.51 | $4.79 | $6.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $5.13 Typical High $7.76 | Professional | None | $4.27 | $5.13 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $25.12 Typical High $30.20 | Facility | None | $12.59 | $25.12 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
Emblem Health Setting Facility Modifier None Typical Low $9.33 Median $15.85 Typical High $35.48 | Facility | None | $9.33 | $15.85 | $35.48 |
Emblem Health Setting Professional Modifier None Typical Low $9.33 Median $9.77 Typical High $11.75 | Professional | None | $9.33 | $9.77 | $11.75 |
Excellus BCBS Setting Professional Modifier None Typical Low $2.04 Median $3.80 Typical High $9.33 | Professional | None | $2.04 | $3.80 | $9.33 |
MVP Health Care Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
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 $5.37 Median $9.77 Typical High $9.77 | Professional | None | $5.37 | $9.77 | $9.77 |
Univera Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
Univera Setting Professional Modifier None Typical Low $2.04 Median $9.33 Typical High $11.75 | Professional | None | $2.04 | $9.33 | $11.75 |
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 |
|---|---|---|---|---|---|
Fidelis Setting Professional Modifier SH · Second concurrent infusion Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | SH · Second concurrent infusion | $2.95 | $2.95 | $2.95 |
Highmark BCBS Setting Professional Modifier RH · Ambulance R to H Typical Low $7.94 Median $23.44 Typical High $501.19 | Professional | RH · Ambulance R to H | $7.94 | $23.44 | $501.19 |
Where New York 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.
New York· 46th of 51
$5.75
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.