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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $57.54 Typical High $57.54 | Professional | None | $42.66 | $57.54 | $57.54 |
BCBS North Carolina Setting Facility Modifier None Typical Low $54.95 Median $69.18 Typical High $91.20 | Facility | None | $54.95 | $69.18 | $91.20 |
BCBS North Carolina Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $53.70 | Professional | None | $43.65 | $51.29 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $39.81 Typical High $42.66 | Professional | None | $33.88 | $39.81 | $42.66 |
Medcost Setting Professional Modifier None Typical Low $30.90 Median $33.11 Typical High $47.86 | Professional | None | $30.90 | $33.11 | $47.86 |
Medcost Setting Facility Modifier None Typical Low $18.20 Median $36.31 Typical High $64.57 | Facility | None | $18.20 | $36.31 | $64.57 |
Medcost Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $79.43 | Professional | None | $42.66 | $50.12 | $79.43 |
United Setting Professional Modifier None Typical Low $21.88 Median $31.62 Typical High $41.69 | Professional | None | $21.88 | $31.62 | $41.69 |
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 $6.46 Median $8.71 Typical High $8.71 | Professional | 55 · Aftercare only | $6.46 | $8.71 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $5.75 Typical High $5.75 | Professional | 56 · Pre-op care only | $4.27 | $5.75 | $5.75 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $21.38 Median $25.12 Typical High $75.86 | Professional | 51 · Multiple procedures | $21.38 | $25.12 | $75.86 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | SH · Second concurrent infusion | $21.38 | $21.38 | $21.38 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | SJ · Third+ concurrent infusion | $21.38 | $21.38 | $21.38 |
Where North Carolina sits
The same service costs 5.8 times more in Hawaii than in Kansas. 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· 18th of 51
$51.29
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.