How much rates vary
Facilitymedian $58 · 10th to 90th $40 to $479Professionalmedian $52 · 10th to 90th $40 to $132
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 $39.81 Median $57.54 Typical High $478.63 | Facility | None | $39.81 | $57.54 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $416.87 | Professional | None | $39.81 | $57.54 | $416.87 |
BCBS Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $57.54 | Professional | None | $39.81 | $50.12 | $57.54 |
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 + QX · CRNA, directed Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $158.49 | $158.49 | $158.49 |