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 $630.96 Median $794.33 Typical High $794.33 | Facility | None | $630.96 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $691.83 Typical High $794.33 | Professional | None | $549.54 | $691.83 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $524.81 Median $794.33 Typical High $794.33 | Professional | None | $524.81 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $3,981.07 | Professional | None | $380.19 | $549.54 | $3,981.07 |
United Setting Professional Modifier None Typical Low $489.78 Median $588.84 Typical High $831.76 | Professional | None | $489.78 | $588.84 | $831.76 |
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 $851.14 Median $851.14 Typical High $851.14 | Professional | SH · Second concurrent infusion | $851.14 | $851.14 | $851.14 |
Where Kentucky sits
The same service costs 7.1 times more in Montana than in Oregon. 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.
Kentucky· 21st of 51
$794
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.