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 $194.98 Median $309.03 Typical High $2,187.76 | Facility | None | $194.98 | $309.03 | $2,187.76 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $234.42 Typical High $645.65 | Professional | None | $114.82 | $234.42 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $1,318.26 Typical High $1,513.56 | Facility | None | $398.11 | $1,318.26 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $501.19 | Professional | None | $316.23 | $478.63 | $501.19 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,122.02 Median $1,380.38 Typical High $3,235.94 | Facility | None | $1,122.02 | $1,380.38 | $3,235.94 |
Horizon BCBS Setting Professional Modifier None Typical Low $354.81 Median $371.54 Typical High $2,691.53 | Professional | None | $354.81 | $371.54 | $2,691.53 |
United Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
United Setting Professional Modifier None Typical Low $380.19 Median $467.74 Typical High $1,380.38 | Professional | None | $380.19 | $467.74 | $1,380.38 |
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 $407.38 Median $407.38 Typical High $407.38 | Professional | SH · Second concurrent infusion | $407.38 | $407.38 | $407.38 |
Where New Jersey sits
The same service costs 323.6 times more in California 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 Jersey· 43rd of 51
$372
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.