How much rates vary
Facilitymedian $479 · 10th to 90th $49 to $562Professionalmedian $69 · 10th to 90th $44 to $550
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 $380.19 Median $549.54 Typical High $562.34 | Facility | None | $380.19 | $549.54 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $524.81 Typical High $549.54 | Professional | None | $43.65 | $524.81 | $549.54 |
BCBS Nebraska Setting Facility Modifier None Typical Low $44.67 Median $60.26 Typical High $123.03 | Facility | None | $44.67 | $60.26 | $123.03 |
BCBS Nebraska Setting Professional Modifier None Typical Low $524.81 Median $537.03 Typical High $537.03 | Professional | None | $524.81 | $537.03 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $549.54 | Professional | None | $457.09 | $457.09 | $549.54 |
Medica Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $1,584.89 | Professional | None | $56.23 | $66.07 | $1,584.89 |
Oscar Health Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $7,079.46 | Facility | None | $6,025.60 | $6,025.60 | $7,079.46 |
Oscar Health Setting Professional Modifier None Typical Low $6.03 Median $7.08 Typical High $22.91 | Professional | None | $6.03 | $7.08 | $22.91 |
United Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $83.18 | Professional | None | $56.23 | $64.57 | $83.18 |
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 $288.40 Median $309.03 Typical High $1,047.13 | Professional | QZ · CRNA, independent | $288.40 | $309.03 | $1,047.13 |