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 $0.45 Median $0.45 Typical High $0.45 | Facility | None | $0.45 | $0.45 | $0.45 |
Aetna Setting Professional Modifier None Typical Low $0.14 Median $0.45 Typical High $0.45 | Professional | None | $0.14 | $0.45 | $0.45 |
BCBS North Carolina Setting Facility Modifier None Typical Low $0.52 Median $0.52 Typical High $0.52 | Facility | None | $0.52 | $0.52 | $0.52 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.38 Median $0.39 Typical High $0.43 | Professional | None | $0.38 | $0.39 | $0.43 |
Cigna Setting Facility Modifier None Typical Low $0.31 Median $0.31 Typical High $0.39 | Facility | None | $0.31 | $0.31 | $0.39 |
Cigna Setting Professional Modifier None Typical Low $0.26 Median $0.31 Typical High $0.37 | Professional | None | $0.26 | $0.31 | $0.37 |
Medcost Setting Professional Modifier None Typical Low $0.25 Median $0.27 Typical High $0.37 | Professional | None | $0.25 | $0.27 | $0.37 |
Medcost Setting Facility Modifier None Typical Low $0.14 Median $0.29 Typical High $0.50 | Facility | None | $0.14 | $0.29 | $0.50 |
Medcost Setting Professional Modifier None Typical Low $0.34 Median $0.40 Typical High $1.00 | Professional | None | $0.34 | $0.40 | $1.00 |
United Setting Professional Modifier None Typical Low $0.17 Median $0.25 Typical High $0.33 | Professional | None | $0.17 | $0.25 | $0.33 |
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 $0.17 Median $0.20 Typical High $0.59 | Professional | 51 · Multiple procedures | $0.17 | $0.20 | $0.59 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | SH · Second concurrent infusion | $0.17 | $0.17 | $0.17 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | SJ · Third+ concurrent infusion | $0.17 | $0.17 | $0.17 |
Where North Carolina sits
The same service costs 17.0 times more in Kansas than in New Hampshire. 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
$0.39
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.