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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $20.89 Typical High $20.89 | Professional | None | $15.49 | $20.89 | $20.89 |
BCBS North Carolina Setting Facility Modifier None Typical Low $25.12 Median $32.36 Typical High $32.36 | Facility | None | $25.12 | $32.36 | $32.36 |
BCBS North Carolina Setting Professional Modifier None Typical Low $15.85 Median $18.20 Typical High $19.50 | Professional | None | $15.85 | $18.20 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $13.49 Typical High $15.85 | Professional | None | $10.00 | $13.49 | $15.85 |
Medcost Setting Professional Modifier None Typical Low $11.22 Median $12.02 Typical High $17.38 | Professional | None | $11.22 | $12.02 | $17.38 |
Medcost Setting Facility Modifier None Typical Low $6.61 Median $13.18 Typical High $22.91 | Facility | None | $6.61 | $13.18 | $22.91 |
Medcost Setting Professional Modifier None Typical Low $5.01 Median $18.20 Typical High $28.84 | Professional | None | $5.01 | $18.20 | $28.84 |
United Setting Professional Modifier None Typical Low $7.94 Median $11.48 Typical High $15.14 | Professional | None | $7.94 | $11.48 | $15.14 |
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 $2.29 Median $3.16 Typical High $3.16 | Professional | 55 · Aftercare only | $2.29 | $3.16 | $3.16 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.55 Median $2.09 Typical High $2.09 | Professional | 56 · Pre-op care only | $1.55 | $2.09 | $2.09 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2.51 Median $9.12 Typical High $26.92 | Professional | 51 · Multiple procedures | $2.51 | $9.12 | $26.92 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | SH · Second concurrent infusion | $2.51 | $2.51 | $2.51 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | SJ · Third+ concurrent infusion | $2.51 | $2.51 | $2.51 |
Where North Carolina sits
The same service costs 2.3 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· 17th of 51
$18.20
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.