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 $0.83 Median $0.83 Typical High $0.83 | Facility | None | $0.83 | $0.83 | $0.83 |
Aetna Setting Professional Modifier None Typical Low $0.59 Median $0.83 Typical High $0.83 | Professional | None | $0.59 | $0.83 | $0.83 |
BCBS North Carolina Setting Facility Modifier None Typical Low $0.78 Median $0.93 Typical High $1.00 | Facility | None | $0.78 | $0.93 | $1.00 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.65 Median $0.72 Typical High $0.78 | Professional | None | $0.65 | $0.72 | $0.78 |
Cigna Setting Facility Modifier None Typical Low $0.58 Median $0.58 Typical High $0.71 | Facility | None | $0.58 | $0.58 | $0.71 |
Cigna Setting Professional Modifier None Typical Low $0.49 Median $0.58 Typical High $0.68 | Professional | None | $0.49 | $0.58 | $0.68 |
Medcost Setting Professional Modifier None Typical Low $0.44 Median $0.47 Typical High $0.68 | Professional | None | $0.44 | $0.47 | $0.68 |
Medcost Setting Facility Modifier None Typical Low $0.26 Median $0.51 Typical High $0.98 | Facility | None | $0.26 | $0.51 | $0.98 |
Medcost Setting Professional Modifier None Typical Low $0.71 Median $1.00 Typical High $1.12 | Professional | None | $0.71 | $1.00 | $1.12 |
United Setting Professional Modifier None Typical Low $0.32 Median $0.46 Typical High $0.60 | Professional | None | $0.32 | $0.46 | $0.60 |
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 $0.35 Median $0.50 Typical High $1.07 | Professional | 51 · Multiple procedures | $0.35 | $0.50 | $1.07 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $0.50 Median $0.50 Typical High $0.50 | Professional | SH · Second concurrent infusion | $0.50 | $0.50 | $0.50 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $0.50 Median $0.50 Typical High $0.50 | Professional | SJ · Third+ concurrent infusion | $0.50 | $0.50 | $0.50 |
Where North Carolina sits
The same service costs 9.5 times more in Kansas than in Alabama. 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
$0.72
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.