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 $281.84 Median $295.12 Typical High $1,230.27 | Facility | None | $281.84 | $295.12 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $281.84 Typical High $562.34 | Professional | None | $158.49 | $281.84 | $562.34 |
AmeriHealth Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
Capital Blue Cross Setting Facility Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $79,432.82 | Facility | None | $4,265.80 | $5,011.87 | $79,432.82 |
Capital Blue Cross Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $870.96 | Professional | None | $562.34 | $562.34 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $489.78 Typical High $1,348.96 | Facility | None | $151.36 | $489.78 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $436.52 Typical High $501.19 | Professional | None | $151.36 | $436.52 | $501.19 |
Geisinger Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $630.96 | Professional | None | $389.05 | $524.81 | $630.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Independence Blue Cross Setting Facility Modifier None Typical Low $1,230.27 Median $3,981.07 Typical High $8,511.38 | Facility | None | $1,230.27 | $3,981.07 | $8,511.38 |
Martin's Point Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $1,230.27 | Facility | None | $295.12 | $295.12 | $1,230.27 |
Martin's Point Setting Professional Modifier None Typical Low $151.36 Median $281.84 Typical High $602.56 | Professional | None | $151.36 | $281.84 | $602.56 |
UPMC Health Plan Setting Facility Modifier None Typical Low $676.08 Median $851.14 Typical High $1,380.38 | Facility | None | $676.08 | $851.14 | $1,380.38 |
UPMC Health Plan Setting Professional Modifier None Typical Low $389.05 Median $489.78 Typical High $489.78 | Professional | None | $389.05 | $489.78 | $489.78 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $562.34 | Facility | None | $524.81 | $524.81 | $562.34 |
United Setting Professional Modifier None Typical Low $363.08 Median $478.63 Typical High $891.25 | Professional | None | $363.08 | $478.63 | $891.25 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier SH · Second concurrent infusion Typical Low $407.38 Median $407.38 Typical High $416.87 | Professional | SH · Second concurrent infusion | $407.38 | $407.38 | $416.87 |
Highmark BCBS Setting Professional Modifier DH · Ambulance D to H + EH · Ambulance E to H + 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 $446.68 Median $446.68 Typical High $446.68 | Professional | DH · Ambulance D to H + EH · Ambulance E to H + HH · Mental health + substance use + NH · Ambulance N to H + PH · Ambulance P to H + RH · Ambulance R to H + SH · Second concurrent infusion | $446.68 | $446.68 | $446.68 |
Where Pennsylvania 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.
Pennsylvania· 37th of 51
$398
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.