How much rates vary
Facilitymedian $38 · 10th to 90th $21 to $4,266Professionalmedian $234 · 10th to 90th $38 to $525
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 $512.86 | Facility | None | $21.38 | $38.02 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $38.02 Typical High $478.63 | Professional | None | $21.38 | $38.02 | $478.63 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $269.15 Typical High $524.81 | Professional | None | $234.42 | $269.15 | $524.81 |
Hometown Health Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $724.44 | Professional | None | $338.84 | $457.09 | $724.44 |
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 $281.84 Median $524.81 Typical High $575.44 | Professional | None | $281.84 | $524.81 | $575.44 |
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 $138.04 Median $138.04 Typical High $138.04 | Professional | AA · Anesthesiologist | $138.04 | $138.04 | $138.04 |