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 Professional Modifier None Typical Low $0.72 Median $0.76 Typical High $0.76 | Professional | None | $0.72 | $0.76 | $0.76 |
BCBS North Carolina Setting Professional Modifier None Typical Low $0.85 Median $0.85 Typical High $0.85 | Professional | None | $0.85 | $0.85 | $0.85 |
Cigna Setting Facility Modifier None Typical Low $0.85 Median $0.98 Typical High $1.62 | Facility | None | $0.85 | $0.98 | $1.62 |
Cigna Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | None | $0.76 | $0.76 | $0.76 |
Medcost Setting Professional Modifier None Typical Low $0.45 Median $0.45 Typical High $0.85 | Professional | None | $0.45 | $0.45 | $0.85 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $0.22 Median $0.22 Typical High $0.42 | Professional | 51 · Multiple procedures | $0.22 | $0.22 | $0.42 |
United Setting Professional Modifier None Typical Low $0.36 Median $0.89 Typical High $0.89 | Professional | None | $0.36 | $0.89 | $0.89 |
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 $0.22 Median $0.22 Typical High $0.22 | Professional | SH · Second concurrent infusion | $0.22 | $0.22 | $0.22 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $0.22 Median $0.22 Typical High $0.22 | Professional | SJ · Third+ concurrent infusion | $0.22 | $0.22 | $0.22 |
Where North Carolina sits
The same service costs 3.1 times more in Kansas than in Oklahoma. 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· 32nd of 51
$0.79
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.