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 $269.15 Median $269.15 Typical High $407.38 | Facility | None | $269.15 | $269.15 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $269.15 Typical High $467.74 | Professional | None | $154.88 | $269.15 | $467.74 |
BCBS Tennessee Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $446.68 Typical High $524.81 | Professional | None | $251.19 | $446.68 | $524.81 |
United Setting Professional Modifier None Typical Low $245.47 Median $416.87 Typical High $489.78 | Professional | None | $245.47 | $416.87 | $489.78 |
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 NH · Ambulance N to H + RH · Ambulance R to H + SH · Second concurrent infusion Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | NH · Ambulance N to H + RH · Ambulance R to H + SH · Second concurrent infusion | $398.11 | $398.11 | $398.11 |
Where Tennessee 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.
Tennessee· 36th of 51
$417
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.