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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $48.98 Typical High $54.95 | Professional | None | $45.71 | $48.98 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $64.57 Typical High $107.15 | Facility | None | $57.54 | $64.57 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Medcost Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $51.29 | Facility | None | $48.98 | $48.98 | $51.29 |
Medcost Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 51 · Multiple procedures | $26.92 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $3.09 Median $7.76 Typical High $10.00 | Professional | None | $3.09 | $7.76 | $10.00 |
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 $26.92 Median $26.92 Typical High $26.92 | Professional | SH · Second concurrent infusion | $26.92 | $26.92 | $26.92 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | SJ · Third+ concurrent infusion | $26.92 | $26.92 | $26.92 |
Where North Carolina sits
The same service costs 26.3 times more in New York than in Arkansas. 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· 34th of 51
$48.98
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.