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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $51.29 Typical High $51.29 | Professional | None | $41.69 | $51.29 | $51.29 |
BCBS North Carolina Setting Facility Modifier None Typical Low $47.86 Median $57.54 Typical High $60.26 | Facility | None | $47.86 | $57.54 | $60.26 |
BCBS North Carolina Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $47.86 | Professional | None | $38.02 | $44.67 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $46.77 | Professional | None | $34.67 | $40.74 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $31.62 Median $33.88 Typical High $48.98 | Professional | None | $31.62 | $33.88 | $48.98 |
Medcost Setting Facility Modifier None Typical Low $18.62 Median $31.62 Typical High $56.23 | Facility | None | $18.62 | $31.62 | $56.23 |
Medcost Setting Professional Modifier None Typical Low $37.15 Median $43.65 Typical High $69.18 | Professional | None | $37.15 | $43.65 | $69.18 |
United Setting Professional Modifier None Typical Low $21.88 Median $28.84 Typical High $38.90 | Professional | None | $21.88 | $28.84 | $38.90 |
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 $6.61 Median $7.59 Typical High $7.59 | Professional | 55 · Aftercare only | $6.61 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.37 Median $5.13 Typical High $5.13 | Professional | 56 · Pre-op care only | $4.37 | $5.13 | $5.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $18.62 Median $21.88 Typical High $66.07 | Professional | 51 · Multiple procedures | $18.62 | $21.88 | $66.07 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | SH · Second concurrent infusion | $18.62 | $18.62 | $18.62 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | SJ · Third+ concurrent infusion | $18.62 | $18.62 | $18.62 |
Where North Carolina sits
The same service costs 3.0 times more in Hawaii than in Rhode Island. 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· 21st of 51
$44.67
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.