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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $128.82 Typical High $128.82 | Professional | None | $93.33 | $128.82 | $128.82 |
BCBS North Carolina Setting Facility Modifier None Typical Low $120.23 Median $154.88 Typical High $199.53 | Facility | None | $120.23 | $154.88 | $199.53 |
BCBS North Carolina Setting Professional Modifier None Typical Low $107.15 Median $112.20 Typical High $120.23 | Professional | None | $107.15 | $112.20 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $95.50 | Professional | None | $74.13 | $89.13 | $95.50 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $74.13 Typical High $104.71 | Professional | None | $67.61 | $74.13 | $104.71 |
Medcost Setting Facility Modifier None Typical Low $39.81 Median $81.28 Typical High $141.25 | Facility | None | $39.81 | $81.28 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $95.50 Median $109.65 Typical High $177.83 | Professional | None | $95.50 | $109.65 | $177.83 |
United Setting Professional Modifier None Typical Low $48.98 Median $70.79 Typical High $93.33 | Professional | None | $48.98 | $70.79 | $93.33 |
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 $47.86 Median $54.95 Typical High $165.96 | Professional | 51 · Multiple procedures | $47.86 | $54.95 | $165.96 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | SH · Second concurrent infusion | $47.86 | $47.86 | $47.86 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | SJ · Third+ concurrent infusion | $47.86 | $47.86 | $47.86 |
Where North Carolina sits
The same service costs 2.1 times more in Idaho than in Delaware. 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
$112
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.