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 $575.44 Median $575.44 Typical High $676.08 | Facility | None | $575.44 | $575.44 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $645.65 | Professional | None | $575.44 | $575.44 | $645.65 |
BCBS North Carolina Setting Facility Modifier None Typical Low $616.60 Median $741.31 Typical High $2,238.72 | Facility | None | $616.60 | $741.31 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Medcost Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $602.56 | Facility | None | $575.44 | $575.44 | $602.56 |
United Setting Professional Modifier None Typical Low $562.34 Median $616.60 Typical High $724.44 | Professional | None | $562.34 | $616.60 | $724.44 |
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 RH · Ambulance R to H + SH · Second concurrent infusion Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | RH · Ambulance R to H + SH · Second concurrent infusion | $776.25 | $776.25 | $776.25 |
Where North Carolina 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.
North Carolina· 46th of 51
$575
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.