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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $95.50 Typical High $95.50 | Professional | None | $69.18 | $95.50 | $95.50 |
BCBS North Carolina Setting Facility Modifier None Typical Low $89.13 Median $112.20 Typical High $147.91 | Facility | None | $89.13 | $112.20 | $147.91 |
BCBS North Carolina Setting Professional Modifier None Typical Low $81.28 Median $83.18 Typical High $91.20 | Professional | None | $81.28 | $83.18 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $75.86 | Professional | None | $44.67 | $44.67 | $75.86 |
Medcost Setting Professional Modifier None Typical Low $50.12 Median $53.70 Typical High $77.62 | Professional | None | $50.12 | $53.70 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $29.51 Median $77.62 Typical High $109.65 | Facility | None | $29.51 | $77.62 | $109.65 |
Medcost Setting Professional Modifier None Typical Low $70.79 Median $81.28 Typical High $128.82 | Professional | None | $70.79 | $81.28 | $128.82 |
United Setting Professional Modifier None Typical Low $36.31 Median $51.29 Typical High $69.18 | Professional | None | $36.31 | $51.29 | $69.18 |
7 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $34.67 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $13.80 | $19.05 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $14.13 Typical High $14.13 | Professional | 55 · Aftercare only | $10.47 | $14.13 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.92 Median $9.55 Typical High $9.55 | Professional | 56 · Pre-op care only | $6.92 | $9.55 | $9.55 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $34.67 Median $40.74 Typical High $123.03 | Professional | 51 · Multiple procedures | $34.67 | $40.74 | $123.03 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | SH · Second concurrent infusion | $34.67 | $34.67 | $34.67 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | SJ · Third+ concurrent infusion | $34.67 | $34.67 | $34.67 |
Where North Carolina sits
The same service costs 2.5 times more in Idaho 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· 18th of 51
$83.18
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.