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 $275.42 Median $275.42 Typical High $295.12 | Facility | None | $275.42 | $275.42 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $295.12 | Professional | None | $275.42 | $275.42 | $295.12 |
BCBS Louisiana Setting Facility Modifier None Typical Low $426.58 Median $758.58 Typical High $1,148.15 | Facility | None | $426.58 | $758.58 | $1,148.15 |
Christus Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
United Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $524.81 | Facility | None | $512.86 | $512.86 | $524.81 |
United Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
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 + NH · Ambulance N to H + PH · Ambulance P to H + RH · Ambulance R to H + SH · Second concurrent infusion Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | HH · Mental health + substance use + NH · Ambulance N to H + PH · Ambulance P to H + RH · Ambulance R to H + SH · Second concurrent infusion | $575.44 | $575.44 | $575.44 |
Where Louisiana sits
The same service costs 6.6 times more in Minnesota 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.
Louisiana· 23rd of 51
$513
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.