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 $3.80 Median $3.80 Typical High $3.80 | Facility | None | $3.80 | $3.80 | $3.80 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $3.80 Typical High $3.80 | Professional | None | $2.69 | $3.80 | $3.80 |
Ambetter Setting Professional Modifier None Typical Low $2.19 Median $7.41 Typical High $7.41 | Professional | None | $2.19 | $7.41 | $7.41 |
BCBS North Carolina Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $4.27 | Facility | None | $3.55 | $3.55 | $4.27 |
BCBS North Carolina Setting Professional Modifier None Typical Low $3.16 Median $3.31 Typical High $3.31 | Professional | None | $3.16 | $3.31 | $3.31 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
Medcost Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $2.95 | Professional | None | $2.51 | $2.51 | $2.95 |
Medcost Setting Facility Modifier None Typical Low $1.38 Median $3.80 Typical High $4.47 | Facility | None | $1.38 | $3.80 | $4.47 |
Medcost Setting Professional Modifier None Typical Low $0.26 Median $3.24 Typical High $5.25 | Professional | None | $0.26 | $3.24 | $5.25 |
United Setting Professional Modifier None Typical Low $1.66 Median $2.14 Typical High $2.57 | Professional | None | $1.66 | $2.14 | $2.57 |
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 $1.45 Median $1.62 Typical High $3.89 | Professional | 51 · Multiple procedures | $1.45 | $1.62 | $3.89 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | SH · Second concurrent infusion | $2.00 | $2.00 | $2.00 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $2.00 Median $2.00 Typical High $2.00 | Professional | SJ · Third+ concurrent infusion | $2.00 | $2.00 | $2.00 |
Where North Carolina sits
The same service costs 2.6 times more in Hawaii than in California. 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
$3.31
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.