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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $39.81 Typical High $39.81 | Professional | None | $28.84 | $39.81 | $39.81 |
BCBS North Carolina Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $43.65 | Facility | None | $36.31 | $36.31 | $43.65 |
BCBS North Carolina Setting Professional Modifier None Typical Low $29.51 Median $34.67 Typical High $36.31 | Professional | None | $29.51 | $34.67 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $28.84 Typical High $30.90 | Professional | None | $21.38 | $28.84 | $30.90 |
Medcost Setting Professional Modifier None Typical Low $18.20 Median $19.95 Typical High $26.30 | Professional | None | $18.20 | $19.95 | $26.30 |
Medcost Setting Facility Modifier None Typical Low $11.48 Median $30.90 Typical High $45.71 | Facility | None | $11.48 | $30.90 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $29.51 Median $30.90 Typical High $52.48 | Professional | None | $29.51 | $30.90 | $52.48 |
United Setting Professional Modifier None Typical Low $15.14 Median $20.89 Typical High $32.36 | Professional | None | $15.14 | $20.89 | $32.36 |
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 $14.79 Median $15.49 Typical High $50.12 | Professional | 51 · Multiple procedures | $14.79 | $15.49 | $50.12 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | SH · Second concurrent infusion | $15.49 | $15.49 | $15.49 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | SJ · Third+ concurrent infusion | $15.49 | $15.49 | $15.49 |
Where North Carolina sits
The same service costs 2.2 times more in Montana 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· 18th of 51
$34.67
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.