How much rates vary
Facilitymedian $38 · 10th to 90th $21 to $4,266Professionalmedian $214 · 10th to 90th $38 to $457
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 $21.38 Median $38.02 Typical High $436.52 | Facility | None | $21.38 | $38.02 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $38.02 Typical High $407.38 | Professional | None | $21.38 | $38.02 | $407.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $229.09 Typical High $446.68 | Professional | None | $199.53 | $229.09 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $309.03 Typical High $457.09 | Professional | None | $251.19 | $309.03 | $457.09 |
Hometown Health Setting Professional Modifier None Typical Low $288.40 Median $389.05 Typical High $616.60 | Professional | None | $288.40 | $389.05 | $616.60 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $239.88 Median $457.09 Typical High $501.19 | Professional | None | $239.88 | $457.09 | $501.19 |
United Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $79.43 | Professional | None | $34.67 | $47.86 | $79.43 |
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 AA · Anesthesiologist Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | AA · Anesthesiologist | $181.97 | $181.97 | $181.97 |