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 $3.31 Median $3.31 Typical High $3.31 | Facility | None | $3.31 | $3.31 | $3.31 |
Aetna Setting Professional Modifier None Typical Low $2.40 Median $3.31 Typical High $3.31 | Professional | None | $2.40 | $3.31 | $3.31 |
BCBS North Carolina Setting Facility Modifier None Typical Low $3.98 Median $5.13 Typical High $5.13 | Facility | None | $3.98 | $5.13 | $5.13 |
BCBS North Carolina Setting Professional Modifier None Typical Low $2.82 Median $2.88 Typical High $3.09 | Professional | None | $2.82 | $2.88 | $3.09 |
Cigna Setting Facility Modifier None Typical Low $2.29 Median $2.29 Typical High $2.82 | Facility | None | $2.29 | $2.29 | $2.82 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $2.29 Typical High $2.69 | Professional | None | $1.95 | $2.29 | $2.69 |
Medcost Setting Professional Modifier None Typical Low $1.78 Median $1.91 Typical High $2.57 | Professional | None | $1.78 | $1.91 | $2.57 |
Medcost Setting Facility Modifier None Typical Low $1.05 Median $2.04 Typical High $3.63 | Facility | None | $1.05 | $2.04 | $3.63 |
Medcost Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $8.71 | Professional | None | $2.82 | $2.82 | $8.71 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.78 Typical High $2.40 | Professional | None | $1.26 | $1.78 | $2.40 |
3 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1.41 Median $1.41 Typical High $4.27 | Professional | 51 · Multiple procedures | $1.41 | $1.41 | $4.27 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | SH · Second concurrent infusion | $1.41 | $1.41 | $1.41 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $1.41 Median $1.41 Typical High $1.41 | Professional | SJ · Third+ concurrent infusion | $1.41 | $1.41 | $1.41 |
Where North Carolina sits
The same service costs 2.2 times more in Kansas than in Alabama. 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· 20th of 51
$2.88
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.