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 $2.69 Median $2.69 Typical High $2.69 | Facility | None | $2.69 | $2.69 | $2.69 |
Aetna Setting Professional Modifier None Typical Low $1.91 Median $2.69 Typical High $2.69 | Professional | None | $1.91 | $2.69 | $2.69 |
Ambetter Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.82 | Professional | None | $2.04 | $2.04 | $2.82 |
BCBS North Carolina Setting Facility Modifier None Typical Low $3.24 Median $4.17 Typical High $4.17 | Facility | None | $3.24 | $4.17 | $4.17 |
BCBS North Carolina Setting Professional Modifier None Typical Low $2.09 Median $2.34 Typical High $2.51 | Professional | None | $2.09 | $2.34 | $2.51 |
Cigna Setting Facility Modifier None Typical Low $1.86 Median $1.86 Typical High $2.29 | Facility | None | $1.86 | $1.86 | $2.29 |
Cigna Setting Professional Modifier None Typical Low $1.58 Median $1.86 Typical High $2.19 | Professional | None | $1.58 | $1.86 | $2.19 |
Medcost Setting Professional Modifier None Typical Low $1.45 Median $1.55 Typical High $2.19 | Professional | None | $1.45 | $1.55 | $2.19 |
Medcost Setting Facility Modifier None Typical Low $0.83 Median $1.70 Typical High $2.95 | Facility | None | $0.83 | $1.70 | $2.95 |
Medcost Setting Professional Modifier None Typical Low $2.00 Median $2.29 Typical High $3.72 | Professional | None | $2.00 | $2.29 | $3.72 |
United Setting Professional Modifier None Typical Low $1.02 Median $1.48 Typical High $2.00 | Professional | None | $1.02 | $1.48 | $2.00 |
5 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.30 Median $0.41 Typical High $0.41 | Professional | 55 · Aftercare only | $0.30 | $0.41 | $0.41 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.20 Median $0.27 Typical High $0.27 | Professional | 56 · Pre-op care only | $0.20 | $0.27 | $0.27 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1.00 Median $1.15 Typical High $3.47 | Professional | 51 · Multiple procedures | $1.00 | $1.15 | $3.47 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | SH · Second concurrent infusion | $1.00 | $1.00 | $1.00 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | SJ · Third+ concurrent infusion | $1.00 | $1.00 | $1.00 |
Where North Carolina sits
The same service costs 3.0 times more in Hawaii than in New Hampshire. 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· 19th of 51
$2.34
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.