How much rates vary
Facilitymedian $550 · 10th to 90th $129 to $724Professionalmedian $302 · 10th to 90th $46 to $490
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 $128.82 Median $549.54 Typical High $724.44 | Facility | None | $128.82 | $549.54 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $588.84 | Professional | None | $47.86 | $47.86 | $588.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $489.78 | Professional | None | $354.81 | $354.81 | $489.78 |
CareSource Setting Professional Modifier None Typical Low $81.28 Median $93.33 Typical High $281.84 | Professional | None | $81.28 | $93.33 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,230.27 | $1,258.93 | $1,258.93 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $56.23 Typical High $104.71 | Professional | None | $52.48 | $56.23 | $104.71 |
SummaCare Setting Professional Modifier None Typical Low $128.82 Median $302.00 Typical High $446.68 | Professional | None | $128.82 | $302.00 | $446.68 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $79.43 | Professional | None | $39.81 | $52.48 | $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 $380.19 Typical High $380.19 | Professional | AA · Anesthesiologist | $138.04 | $380.19 | $380.19 |