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 $0.13 Median $0.14 Typical High $0.45 | Facility | None | $0.13 | $0.14 | $0.45 |
Aetna Setting Professional Modifier None Typical Low $0.14 Median $0.14 Typical High $0.33 | Professional | None | $0.14 | $0.14 | $0.33 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.16 Median $0.16 Typical High $0.40 | Professional | None | $0.16 | $0.16 | $0.40 |
Cigna Setting Facility Modifier None Typical Low $0.26 Median $0.35 Typical High $0.49 | Facility | None | $0.26 | $0.35 | $0.49 |
Cigna Setting Professional Modifier None Typical Low $0.23 Median $0.23 Typical High $0.36 | Professional | None | $0.23 | $0.23 | $0.36 |
Medcost Setting Facility Modifier None Typical Low $0.14 Median $0.14 Typical High $0.27 | Facility | None | $0.14 | $0.14 | $0.27 |
Medcost Setting Professional Modifier None Typical Low $0.16 Median $0.16 Typical High $0.24 | Professional | None | $0.16 | $0.16 | $0.24 |
United Setting Professional Modifier None Typical Low $0.10 Median $0.24 Typical High $0.28 | Professional | None | $0.10 | $0.24 | $0.28 |
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 $0.08 Median $0.08 Typical High $0.08 | Professional | 51 · Multiple procedures | $0.08 | $0.08 | $0.08 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | SH · Second concurrent infusion | $0.08 | $0.08 | $0.08 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | SJ · Third+ concurrent infusion | $0.08 | $0.08 | $0.08 |
Where North Carolina sits
The same service costs 1.9 times more in Oklahoma than in New Mexico. 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· 37th of 51
$0.23
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.