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 $17.38 Median $17.38 Typical High $20.89 | Facility | None | $17.38 | $17.38 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $17.38 Typical High $17.38 | Professional | None | $12.02 | $17.38 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
BCBS North Carolina Setting Facility Modifier None Typical Low $16.60 Median $20.89 Typical High $26.92 | Facility | None | $16.60 | $20.89 | $26.92 |
BCBS North Carolina Setting Professional Modifier None Typical Low $14.79 Median $15.49 Typical High $16.22 | Professional | None | $14.79 | $15.49 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $13.49 Typical High $13.49 | Facility | None | $9.55 | $13.49 | $13.49 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $13.49 Typical High $16.60 | Professional | None | $11.48 | $13.49 | $16.60 |
Medcost Setting Professional Modifier None Typical Low $10.47 Median $11.22 Typical High $15.85 | Professional | None | $10.47 | $11.22 | $15.85 |
Medcost Setting Facility Modifier None Typical Low $6.17 Median $10.96 Typical High $19.50 | Facility | None | $6.17 | $10.96 | $19.50 |
Medcost Setting Professional Modifier None Typical Low $12.88 Median $15.14 Typical High $23.99 | Professional | None | $12.88 | $15.14 | $23.99 |
United Setting Professional Modifier None Typical Low $6.61 Median $10.00 Typical High $12.88 | Professional | None | $6.61 | $10.00 | $12.88 |
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 $2.14 Median $2.63 Typical High $2.63 | Professional | 55 · Aftercare only | $2.14 | $2.63 | $2.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.41 Median $1.78 Typical High $1.78 | Professional | 56 · Pre-op care only | $1.41 | $1.78 | $1.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $6.46 Median $7.59 Typical High $22.91 | Professional | 51 · Multiple procedures | $6.46 | $7.59 | $22.91 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | SH · Second concurrent infusion | $6.46 | $6.46 | $6.46 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | SJ · Third+ concurrent infusion | $6.46 | $6.46 | $6.46 |
Where North Carolina sits
The same service costs 2.8 times more in Hawaii than in Connecticut. 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
$15.49
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.