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 $660.69 Median $933.25 Typical High $2,454.71 | Facility | None | $660.69 | $933.25 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $575.44 Typical High $707.95 | Professional | None | $416.87 | $575.44 | $707.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $204.17 Typical High $758.58 | Professional | None | $169.82 | $204.17 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $2,089.30 Typical High $2,511.89 | Facility | None | $1,122.02 | $2,089.30 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Emblem Health Setting Facility Modifier None Typical Low $645.65 Median $1,412.54 Typical High $3,235.94 | Facility | None | $645.65 | $1,412.54 | $3,235.94 |
Emblem Health Setting Professional Modifier None Typical Low $912.01 Median $954.99 Typical High $1,122.02 | Professional | None | $912.01 | $954.99 | $1,122.02 |
Excellus BCBS Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $776.25 | Professional | None | $426.58 | $426.58 | $776.25 |
MVP Health Care Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Facility | None | $2,187.76 | $2,187.76 | $2,187.76 |
United Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $912.01 | Facility | None | $776.25 | $776.25 | $912.01 |
United Setting Professional Modifier None Typical Low $512.86 Median $812.83 Typical High $954.99 | Professional | None | $512.86 | $812.83 | $954.99 |
Univera Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Univera Setting Professional Modifier None Typical Low $426.58 Median $776.25 Typical High $954.99 | Professional | None | $426.58 | $776.25 | $954.99 |
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 $660.69 Median $660.69 Typical High $2,041.74 | Professional | RH · Ambulance R to H + SH · Second concurrent infusion | $660.69 | $660.69 | $2,041.74 |
Where New York 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.
New York· 31st of 51
$708
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.