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 $295.12 Median $295.12 Typical High $446.68 | Facility | None | $295.12 | $295.12 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $446.68 | Professional | None | $295.12 | $446.68 | $446.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $478.63 | Professional | None | $102.33 | $120.23 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $371.54 Typical High $707.95 | Facility | None | $346.74 | $371.54 | $707.95 |
Emblem Health Setting Facility Modifier None Typical Low $537.03 Median $954.99 Typical High $2,089.30 | Facility | None | $537.03 | $954.99 | $2,089.30 |
Emblem Health Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Excellus BCBS Setting Professional Modifier None Typical Low $70.79 Median $125.89 Typical High $489.78 | Professional | None | $70.79 | $125.89 | $489.78 |
United Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $575.44 | Facility | None | $489.78 | $489.78 | $575.44 |
United Setting Professional Modifier None Typical Low $331.13 Median $562.34 Typical High $602.56 | Professional | None | $331.13 | $562.34 | $602.56 |
Univera Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Univera Setting Professional Modifier None Typical Low $75.86 Median $489.78 Typical High $616.60 | Professional | None | $75.86 | $489.78 | $616.60 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier RH · Ambulance R to H + SH · Second concurrent infusion Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | RH · Ambulance R to H + SH · Second concurrent infusion | $1,288.25 | $1,288.25 | $1,288.25 |
Where New York sits
The same service costs 398.1 times more in Massachusetts than in Kansas. 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 York· 48th of 50
$234
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.