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 $50.12 Median $50.12 Typical High $70.79 | Facility | None | $50.12 | $50.12 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $58.88 | Professional | None | $50.12 | $50.12 | $58.88 |
BCBS North Carolina Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $63.10 | Professional | None | $45.71 | $45.71 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $85.11 Typical High $120.23 | Facility | None | $64.57 | $85.11 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $64.57 | Professional | None | $56.23 | $56.23 | $64.57 |
Medcost Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $67.61 | Facility | None | $50.12 | $50.12 | $67.61 |
Medcost Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $56.23 | Professional | None | $12.88 | $12.88 | $56.23 |
United Setting Professional Modifier None Typical Low $21.88 Median $54.95 Typical High $56.23 | Professional | None | $21.88 | $54.95 | $56.23 |
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 $25.12 Median $25.12 Typical High $29.51 | Professional | 52 · Reduced service | $25.12 | $25.12 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $11.75 | Professional | 53 · Discontinued | $10.00 | $10.00 | $11.75 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $7.59 Typical High $8.71 | Professional | 55 · Aftercare only | $7.59 | $7.59 | $8.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.01 Median $5.01 Typical High $5.89 | Professional | 56 · Pre-op care only | $5.01 | $5.01 | $5.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $6.46 Median $6.46 Typical High $10.72 | Professional | 51 · Multiple procedures | $6.46 | $6.46 | $10.72 |
Medcost Setting Professional Modifier SH · Second concurrent infusion Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | SH · Second concurrent infusion | $6.46 | $6.46 | $6.46 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | SJ · Third+ concurrent infusion | $6.46 | $6.46 | $6.46 |
Where North Carolina sits
The same service costs 1.6 times more in Alaska than in Louisiana. 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· 50th of 51
$54.95
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.