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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $147.91 | Professional | None | $141.25 | $141.25 | $147.91 |
BCBS North Carolina Setting Facility Modifier None Typical Low $190.55 Median $295.12 Typical High $338.84 | Facility | None | $190.55 | $295.12 | $338.84 |
BCBS North Carolina Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $169.82 | Professional | None | $144.54 | $144.54 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $194.98 Typical High $323.59 | Facility | None | $173.78 | $194.98 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $147.91 | Facility | None | $141.25 | $141.25 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $144.54 | Professional | None | $66.07 | $66.07 | $144.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 51 · Multiple procedures | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $60.26 Median $151.36 Typical High $151.36 | Professional | None | $60.26 | $151.36 | $151.36 |
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 $33.11 Median $33.11 Typical High $33.11 | Professional | SH · Second concurrent infusion | $33.11 | $33.11 | $33.11 |
Medcost Setting Professional Modifier SJ · Third+ concurrent infusion Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | SJ · Third+ concurrent infusion | $33.11 | $33.11 | $33.11 |
Where North Carolina sits
The same service costs 3.5 times more in Alaska than in South Carolina. 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
$151
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.