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 $5.01 Median $5.01 Typical High $7.41 | Facility | None | $5.01 | $5.01 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $5.01 Typical High $8.51 | Professional | None | $2.57 | $5.01 | $8.51 |
BCBS Tennessee Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $5.50 Typical High $6.03 | Professional | None | $4.57 | $5.50 | $6.03 |
United Setting Professional Modifier None Typical Low $4.57 Median $7.59 Typical High $8.91 | Professional | None | $4.57 | $7.59 | $8.91 |
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 HH · Mental health + substance use + HR · Family, patient present + NH · Ambulance N to H + RH · Ambulance R to H + SH · Second concurrent infusion Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | HH · Mental health + substance use + HR · Family, patient present + NH · Ambulance N to H + RH · Ambulance R to H + SH · Second concurrent infusion | $7.24 | $7.24 | $7.24 |
Where Tennessee 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.
Tennessee· 44th of 51
$6.03
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.