How much rates vary
Facilitymedian $50 · 10th to 90th $50 to $50Professionalmedian $151 · 10th to 90th $48 to $251
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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $346.74 | Professional | None | $44.67 | $47.86 | $346.74 |
BCBS New Mexico Setting Professional Modifier None Typical Low $91.20 Median $190.55 Typical High $199.53 | Professional | None | $91.20 | $190.55 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $316.23 | Professional | None | $218.78 | $218.78 | $316.23 |
Molina Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $120.23 | Professional | None | $74.13 | $74.13 | $120.23 |
Providence Setting Professional Modifier None Typical Low $218.78 Median $251.19 Typical High $389.05 | Professional | None | $218.78 | $251.19 | $389.05 |
United Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $79.43 | Professional | None | $38.02 | $54.95 | $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 QZ · CRNA, independent Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | QZ · CRNA, independent | $131.83 | $131.83 | $131.83 |