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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $47.86 Typical High $47.86 | Professional | None | $19.95 | $47.86 | $47.86 |
Ambetter Setting Professional Modifier None Typical Low $38.90 Median $41.69 Typical High $41.69 | Professional | None | $38.90 | $41.69 | $41.69 |
BCBS North Carolina Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $43.65 | Professional | None | $38.02 | $41.69 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $36.31 Typical High $38.90 | Professional | None | $26.30 | $36.31 | $38.90 |
Medcost Setting Professional Modifier None Typical Low $25.12 Median $26.92 Typical High $36.31 | Professional | None | $25.12 | $26.92 | $36.31 |
Medcost Setting Facility Modifier None Typical Low $15.85 Median $26.92 Typical High $52.48 | Facility | None | $15.85 | $26.92 | $52.48 |
Medcost Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $64.57 | Professional | None | $38.02 | $38.02 | $64.57 |
United Setting Professional Modifier None Typical Low $19.05 Median $26.92 Typical High $41.69 | Professional | None | $19.05 | $26.92 | $41.69 |
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 $19.05 Median $19.05 Typical High $61.66 | Professional | 51 · Multiple procedures | $19.05 | $19.05 | $61.66 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | SH · Second concurrent infusion | $19.05 | $19.05 | $19.05 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | SJ · Third+ concurrent infusion | $19.05 | $19.05 | $19.05 |
Where North Carolina sits
The same service costs 2.2 times more in Idaho than in Utah. 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
$41.69
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.