How much rates vary
Facilitymedian $417 · 10th to 90th $45 to $562Professionalmedian $316 · 10th to 90th $45 to $417
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 $44.67 Median $416.87 Typical High $562.34 | Facility | None | $44.67 | $416.87 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $489.78 | Professional | None | $41.69 | $44.67 | $489.78 |
BCBS Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $416.87 | Professional | None | $316.23 | $354.81 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Hally Health Setting Professional Modifier None Typical Low $186.21 Median $371.54 Typical High $501.19 | Professional | None | $186.21 | $371.54 | $501.19 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $316.23 | Professional | None | $269.15 | $269.15 | $316.23 |
United Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $77.62 | Professional | None | $42.66 | $54.95 | $77.62 |
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 $138.04 Median $138.04 Typical High $169.82 | Professional | AA · Anesthesiologist | $138.04 | $138.04 | $169.82 |