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 $0.04 Median $0.04 Typical High $1.62 | Facility | None | $0.04 | $0.04 | $1.62 |
Aetna Setting Professional Modifier None Typical Low $0.04 Median $0.04 Typical High $1.62 | Professional | None | $0.04 | $0.04 | $1.62 |
BCBS North Carolina Setting Facility Modifier None Typical Low $0.72 Median $0.72 Typical High $0.85 | Facility | None | $0.72 | $0.72 | $0.85 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.09 Median $0.13 Typical High $1.26 | Professional | None | $0.09 | $0.13 | $1.26 |
Cigna Setting Facility Modifier None Typical Low $0.09 Median $0.12 Typical High $0.17 | Facility | None | $0.09 | $0.12 | $0.17 |
Cigna Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $1.12 | Professional | None | $0.08 | $0.08 | $1.12 |
Medcost Setting Facility Modifier None Typical Low $0.04 Median $0.04 Typical High $0.10 | Facility | None | $0.04 | $0.04 | $0.10 |
Medcost Setting Professional Modifier None Typical Low $0.19 Median $1.20 Typical High $1.20 | Professional | None | $0.19 | $1.20 | $1.20 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $0.55 Median $0.60 Typical High $0.60 | Professional | 51 · Multiple procedures | $0.55 | $0.60 | $0.60 |
United Setting Professional Modifier None Typical Low $0.04 Median $0.09 Typical High $0.12 | Professional | None | $0.04 | $0.09 | $0.12 |
2 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 SH · Second concurrent infusion Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | SH · Second concurrent infusion | $0.60 | $0.60 | $0.60 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $0.60 Median $0.60 Typical High $0.60 | Professional | SJ · Third+ concurrent infusion | $0.60 | $0.60 | $0.60 |
Where North Carolina sits
The same service costs 14.1 times more in Wyoming than in Connecticut. 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· 26th of 51
$0.09
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.