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 $33.11 Median $33.11 Typical High $38.90 | Facility | None | $33.11 | $33.11 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $33.11 Typical High $33.11 | Professional | None | $26.92 | $33.11 | $33.11 |
BCBS North Carolina Setting Facility Modifier None Typical Low $30.90 Median $37.15 Typical High $39.81 | Facility | None | $30.90 | $37.15 | $39.81 |
BCBS North Carolina Setting Professional Modifier None Typical Low $27.54 Median $28.84 Typical High $30.90 | Professional | None | $27.54 | $28.84 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $26.92 Typical High $26.92 | Facility | None | $22.39 | $26.92 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $26.92 Typical High $28.84 | Professional | None | $22.91 | $26.92 | $28.84 |
Medcost Setting Professional Modifier None Typical Low $20.42 Median $22.39 Typical High $26.92 | Professional | None | $20.42 | $22.39 | $26.92 |
Medcost Setting Facility Modifier None Typical Low $12.02 Median $20.89 Typical High $36.31 | Facility | None | $12.02 | $20.89 | $36.31 |
Medcost Setting Professional Modifier None Typical Low $23.99 Median $28.18 Typical High $45.71 | Professional | None | $23.99 | $28.18 | $45.71 |
United Setting Professional Modifier None Typical Low $13.18 Median $18.62 Typical High $25.12 | Professional | None | $13.18 | $18.62 | $25.12 |
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 $4.27 Median $4.90 Typical High $4.90 | Professional | 55 · Aftercare only | $4.27 | $4.90 | $4.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $3.31 Typical High $3.31 | Professional | 56 · Pre-op care only | $2.88 | $3.31 | $3.31 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $12.02 Median $14.13 Typical High $42.66 | Professional | 51 · Multiple procedures | $12.02 | $14.13 | $42.66 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | SH · Second concurrent infusion | $12.02 | $12.02 | $12.02 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | SJ · Third+ concurrent infusion | $12.02 | $12.02 | $12.02 |
Where North Carolina sits
The same service costs 2.5 times more in Idaho than in Kentucky. 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
$28.84
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.