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 $3.55 Median $3.55 Typical High $3.55 | Facility | None | $3.55 | $3.55 | $3.55 |
Aetna Setting Professional Modifier None Typical Low $2.34 Median $3.55 Typical High $3.55 | Professional | None | $2.34 | $3.55 | $3.55 |
BCBS North Carolina Setting Facility Modifier None Typical Low $4.17 Median $4.17 Typical High $4.17 | Facility | None | $4.17 | $4.17 | $4.17 |
BCBS North Carolina Setting Professional Modifier None Typical Low $2.75 Median $3.09 Typical High $3.24 | Professional | None | $2.75 | $3.09 | $3.24 |
Cigna Setting Facility Modifier None Typical Low $2.40 Median $2.40 Typical High $2.40 | Facility | None | $2.40 | $2.40 | $2.40 |
Cigna Setting Professional Modifier None Typical Low $2.04 Median $2.40 Typical High $2.57 | Professional | None | $2.04 | $2.40 | $2.57 |
Medcost Setting Professional Modifier None Typical Low $1.86 Median $2.00 Typical High $2.88 | Professional | None | $1.86 | $2.00 | $2.88 |
Medcost Setting Facility Modifier None Typical Low $1.10 Median $2.19 Typical High $3.89 | Facility | None | $1.10 | $2.19 | $3.89 |
Medcost Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $4.79 | Professional | None | $3.02 | $3.02 | $4.79 |
United Setting Professional Modifier None Typical Low $1.32 Median $1.91 Typical High $2.51 | Professional | None | $1.32 | $1.91 | $2.51 |
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 $1.51 Median $1.51 Typical High $4.57 | Professional | 51 · Multiple procedures | $1.51 | $1.51 | $4.57 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | SH · Second concurrent infusion | $1.51 | $1.51 | $1.51 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $1.51 Median $1.51 Typical High $1.51 | Professional | SJ · Third+ concurrent infusion | $1.51 | $1.51 | $1.51 |
Where North Carolina sits
The same service costs 2.1 times more in Hawaii than in Colorado. 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· 22nd of 51
$3.09
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.