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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $61.66 Typical High $61.66 | Professional | None | $44.67 | $61.66 | $61.66 |
BCBS North Carolina Setting Facility Modifier None Typical Low $72.44 Median $95.50 Typical High $95.50 | Facility | None | $72.44 | $95.50 | $95.50 |
BCBS North Carolina Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $57.54 | Professional | None | $47.86 | $53.70 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $32.36 Typical High $38.02 | Professional | None | $28.84 | $32.36 | $38.02 |
Medcost Setting Professional Modifier None Typical Low $32.36 Median $34.67 Typical High $50.12 | Professional | None | $32.36 | $34.67 | $50.12 |
Medcost Setting Facility Modifier None Typical Low $19.05 Median $38.02 Typical High $67.61 | Facility | None | $19.05 | $38.02 | $67.61 |
Medcost Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $83.18 | Professional | None | $44.67 | $52.48 | $83.18 |
United Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $43.65 | Professional | None | $23.44 | $33.11 | $43.65 |
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 $22.39 Median $26.30 Typical High $79.43 | Professional | 51 · Multiple procedures | $22.39 | $26.30 | $79.43 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | SH · Second concurrent infusion | $22.39 | $22.39 | $22.39 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | SJ · Third+ concurrent infusion | $22.39 | $22.39 | $22.39 |
Where North Carolina sits
The same service costs 2.3 times more in Hawaii than in Vermont. 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· 17th of 51
$53.70
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.