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 $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $7.41 Typical High $7.41 | Professional | None | $5.37 | $7.41 | $7.41 |
BCBS North Carolina Setting Facility Modifier None Typical Low $6.92 Median $8.32 Typical High $8.71 | Facility | None | $6.92 | $8.32 | $8.71 |
BCBS North Carolina Setting Professional Modifier None Typical Low $5.50 Median $6.46 Typical High $6.92 | Professional | None | $5.50 | $6.46 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.37 | Facility | None | $5.01 | $5.01 | $5.37 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $5.01 Typical High $5.37 | Professional | None | $4.27 | $5.01 | $5.37 |
Medcost Setting Professional Modifier None Typical Low $3.89 Median $4.17 Typical High $6.03 | Professional | None | $3.89 | $4.17 | $6.03 |
Medcost Setting Facility Modifier None Typical Low $2.29 Median $5.50 Typical High $8.13 | Facility | None | $2.29 | $5.50 | $8.13 |
Medcost Setting Professional Modifier None Typical Low $5.01 Median $6.31 Typical High $7.24 | Professional | None | $5.01 | $6.31 | $7.24 |
United Setting Professional Modifier None Typical Low $2.75 Median $3.98 Typical High $5.25 | Professional | None | $2.75 | $3.98 | $5.25 |
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 $0.81 Median $1.10 Typical High $1.10 | Professional | 55 · Aftercare only | $0.81 | $1.10 | $1.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.54 Median $0.72 Typical High $0.72 | Professional | 56 · Pre-op care only | $0.54 | $0.72 | $0.72 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2.51 Median $3.16 Typical High $9.55 | Professional | 51 · Multiple procedures | $2.51 | $3.16 | $9.55 |
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 2.1 times more in Hawaii than in Delaware. 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
$6.46
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.