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 $295.12 Median $295.12 Typical High $1,202.26 | Facility | None | $295.12 | $295.12 | $1,202.26 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $741.31 | Professional | None | $295.12 | $295.12 | $741.31 |
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 $691.83 | Professional | None | $562.34 | $562.34 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $794.33 | Facility | None | $194.98 | $194.98 | $794.33 |
Geisinger Setting Professional Modifier None Typical Low $363.08 Median $478.63 Typical High $575.44 | Professional | None | $363.08 | $478.63 | $575.44 |
Martin's Point Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $1,148.15 | Facility | None | $295.12 | $295.12 | $1,148.15 |
Martin's Point Setting Professional Modifier None Typical Low $295.12 Median $501.19 Typical High $758.58 | Professional | None | $295.12 | $501.19 | $758.58 |
UPMC Health Plan Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
UPMC Health Plan Setting Professional Modifier None Typical Low $371.54 Median $446.68 Typical High $446.68 | Professional | None | $371.54 | $446.68 | $446.68 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $524.81 | Facility | None | $478.63 | $478.63 | $524.81 |
United Setting Professional Modifier None Typical Low $436.52 Median $537.03 Typical High $1,621.81 | Professional | None | $436.52 | $537.03 | $1,621.81 |
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 PH · Ambulance P to H + RH · Ambulance R to H + SH · Second concurrent infusion Typical Low $199.53 Median $199.53 Typical High $213.80 | Professional | PH · Ambulance P to H + RH · Ambulance R to H + SH · Second concurrent infusion | $199.53 | $199.53 | $213.80 |
Where Pennsylvania 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.
Pennsylvania· 29th of 50
$447
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.