How much rates vary
Facilitymedian $62 · 10th to 90th $48 to $324Professionalmedian $209 · 10th to 90th $48 to $407
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $47.86 Median $47.86 Typical High $331.13 | Facility | None | $47.86 | $47.86 | $331.13 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $47.86 Typical High $416.87 | Professional | None | $41.69 | $47.86 | $416.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $223.87 Typical High $346.74 | Professional | None | $128.82 | $223.87 | $346.74 |
CareSource Setting Facility Modifier None Typical Low $67.61 Median $141.25 Typical High $281.84 | Facility | None | $67.61 | $141.25 | $281.84 |
CareSource Setting Professional Modifier None Typical Low $66.07 Median $117.49 Typical High $251.19 | Professional | None | $66.07 | $117.49 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $331.13 Typical High $794.33 | Professional | None | $223.87 | $331.13 | $794.33 |
Molina Setting Professional Modifier None Typical Low $269.15 Median $302.00 Typical High $302.00 | Professional | None | $269.15 | $302.00 | $302.00 |
United Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $70.79 | Professional | None | $43.65 | $53.70 | $70.79 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $97.72 Median $181.97 Typical High $501.19 | Professional | QK · Directing 2–4 cases | $97.72 | $181.97 | $501.19 |