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 $2.19 Median $2.19 Typical High $2.19 | Facility | None | $2.19 | $2.19 | $2.19 |
Aetna Setting Professional Modifier None Typical Low $1.58 Median $2.19 Typical High $2.19 | Professional | None | $1.58 | $2.19 | $2.19 |
BCBS North Carolina Setting Facility Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Facility | None | $2.63 | $2.63 | $2.63 |
BCBS North Carolina Setting Professional Modifier None Typical Low $1.82 Median $1.91 Typical High $2.57 | Professional | None | $1.82 | $1.91 | $2.57 |
Cigna Setting Facility Modifier None Typical Low $1.51 Median $1.51 Typical High $1.58 | Facility | None | $1.51 | $1.51 | $1.58 |
Cigna Setting Professional Modifier None Typical Low $1.29 Median $1.51 Typical High $1.78 | Professional | None | $1.29 | $1.51 | $1.78 |
Medcost Setting Professional Modifier None Typical Low $1.15 Median $1.26 Typical High $1.78 | Professional | None | $1.15 | $1.26 | $1.78 |
Medcost Setting Facility Modifier None Typical Low $0.68 Median $1.38 Typical High $2.40 | Facility | None | $0.68 | $1.38 | $2.40 |
Medcost Setting Professional Modifier None Typical Low $1.86 Median $2.00 Typical High $2.45 | Professional | None | $1.86 | $2.00 | $2.45 |
United Setting Professional Modifier None Typical Low $0.83 Median $1.20 Typical High $1.58 | Professional | None | $0.83 | $1.20 | $1.58 |
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 $0.24 Median $0.33 Typical High $0.33 | Professional | 55 · Aftercare only | $0.24 | $0.33 | $0.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.16 Median $0.22 Typical High $0.22 | Professional | 56 · Pre-op care only | $0.16 | $0.22 | $0.22 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $0.93 Median $1.00 Typical High $2.82 | Professional | 51 · Multiple procedures | $0.93 | $1.00 | $2.82 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | SH · Second concurrent infusion | $1.00 | $1.00 | $1.00 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $1.00 Median $1.00 Typical High $1.00 | Professional | SJ · Third+ concurrent infusion | $1.00 | $1.00 | $1.00 |
Where North Carolina sits
The same service costs 2.1 times more in Idaho than in Connecticut. 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
$1.91
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.