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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $77.62 Typical High $77.62 | Professional | None | $27.54 | $77.62 | $77.62 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $67.61 Typical High $67.61 | Professional | None | $63.10 | $67.61 | $67.61 |
BCBS North Carolina Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $87.10 | Facility | None | $74.13 | $74.13 | $87.10 |
BCBS North Carolina Setting Professional Modifier None Typical Low $58.88 Median $67.61 Typical High $72.44 | Professional | None | $58.88 | $67.61 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $58.88 Typical High $63.10 | Professional | None | $43.65 | $58.88 | $63.10 |
Medcost Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $58.88 | Professional | None | $41.69 | $44.67 | $58.88 |
Medcost Setting Facility Modifier None Typical Low $25.70 Median $61.66 Typical High $91.20 | Facility | None | $25.70 | $61.66 | $91.20 |
Medcost Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $107.15 | Professional | None | $58.88 | $66.07 | $107.15 |
United Setting Professional Modifier None Typical Low $30.90 Median $44.67 Typical High $67.61 | Professional | None | $30.90 | $44.67 | $67.61 |
4 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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier RR · Rental Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | RR · Rental | $5.89 | $5.89 | $5.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $29.51 Median $33.11 Typical High $100.00 | Professional | 51 · Multiple procedures | $29.51 | $33.11 | $100.00 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | SH · Second concurrent infusion | $29.51 | $29.51 | $29.51 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | SJ · Third+ concurrent infusion | $29.51 | $29.51 | $29.51 |
Where North Carolina sits
The same service costs 2.2 times more in Idaho than in Colorado. 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· 19th of 51
$67.61
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.