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 $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $22.39 Typical High $22.39 | Professional | None | $16.22 | $22.39 | $22.39 |
BCBS North Carolina Setting Facility Modifier None Typical Low $21.38 Median $25.70 Typical High $26.92 | Facility | None | $21.38 | $25.70 | $26.92 |
BCBS North Carolina Setting Professional Modifier None Typical Low $16.98 Median $19.50 Typical High $20.89 | Professional | None | $16.98 | $19.50 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $15.49 Typical High $18.20 | Professional | None | $13.18 | $15.49 | $18.20 |
Medcost Setting Professional Modifier None Typical Low $10.23 Median $10.96 Typical High $18.20 | Professional | None | $10.23 | $10.96 | $18.20 |
Medcost Setting Facility Modifier None Typical Low $7.08 Median $14.13 Typical High $24.55 | Facility | None | $7.08 | $14.13 | $24.55 |
Medcost Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $19.95 | Professional | None | $13.80 | $19.50 | $19.95 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.30 Typical High $16.22 | Professional | None | $8.51 | $12.30 | $16.22 |
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 $2.45 Median $3.39 Typical High $3.39 | Professional | 55 · Aftercare only | $2.45 | $3.39 | $3.39 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.62 Median $2.24 Typical High $2.24 | Professional | 56 · Pre-op care only | $1.62 | $2.24 | $2.24 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $8.51 Median $9.55 Typical High $28.84 | Professional | 51 · Multiple procedures | $8.51 | $9.55 | $28.84 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | SH · Second concurrent infusion | $8.51 | $8.51 | $8.51 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | SJ · Third+ concurrent infusion | $8.51 | $8.51 | $8.51 |
Where North Carolina sits
The same service costs 3.5 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· 16th of 51
$19.50
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.