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 $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
BCBS North Carolina Setting Professional Modifier None Typical Low $79.43 Median $83.18 Typical High $89.13 | Professional | None | $79.43 | $83.18 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $33.11 | Professional | None | $23.99 | $33.11 | $33.11 |
Medcost Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $30.20 | Facility | None | $25.12 | $25.12 | $30.20 |
Medcost Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $44.67 | Professional | None | $30.90 | $30.90 | $44.67 |
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 $15.49 Median $15.49 Typical High $22.39 | Professional | 51 · Multiple procedures | $15.49 | $15.49 | $22.39 |
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 380.2 times more in New York than in South Dakota. 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· 3rd of 51
$83.18
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.