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 $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $13.80 Typical High $13.80 | Professional | None | $10.00 | $13.80 | $13.80 |
BCBS North Carolina Setting Facility Modifier None Typical Low $16.60 Median $21.38 Typical High $21.38 | Facility | None | $16.60 | $21.38 | $21.38 |
BCBS North Carolina Setting Professional Modifier None Typical Low $10.72 Median $12.02 Typical High $12.88 | Professional | None | $10.72 | $12.02 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $7.76 Typical High $9.33 | Professional | None | $6.61 | $7.76 | $9.33 |
Medcost Setting Professional Modifier None Typical Low $7.41 Median $7.94 Typical High $11.22 | Professional | None | $7.41 | $7.94 | $11.22 |
Medcost Setting Facility Modifier None Typical Low $4.37 Median $8.71 Typical High $15.14 | Facility | None | $4.37 | $8.71 | $15.14 |
Medcost Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $19.05 | Professional | None | $10.00 | $12.02 | $19.05 |
United Setting Professional Modifier None Typical Low $5.25 Median $7.59 Typical High $10.00 | Professional | None | $5.25 | $7.59 | $10.00 |
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 $5.01 Median $5.89 Typical High $17.78 | Professional | 51 · Multiple procedures | $5.01 | $5.89 | $17.78 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | SH · Second concurrent infusion | $5.01 | $5.01 | $5.01 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | SJ · Third+ concurrent infusion | $5.01 | $5.01 | $5.01 |
Where North Carolina sits
The same service costs 2.4 times more in Minnesota 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· 17th of 51
$12.02
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.