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 $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $114.82 | Facility | None | $100.00 | $100.00 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $87.10 | Professional | None | $37.15 | $37.15 | $87.10 |
Medcost Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $27.54 | Facility | None | $22.91 | $22.91 | $27.54 |
Medcost Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
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 $37.15 Median $37.15 Typical High $37.15 | Professional | 51 · Multiple procedures | $37.15 | $37.15 | $37.15 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | SH · Second concurrent infusion | $37.15 | $37.15 | $37.15 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | SJ · Third+ concurrent infusion | $37.15 | $37.15 | $37.15 |
Where North Carolina sits
The same service costs 45.7 times more in Wyoming than in Massachusetts. 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· 23rd of 51
$22.91
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.