How much rates vary
Facilitymedian $35 · 10th to 90th $35 to $35Professionalmedian $62 · 10th to 90th $44 to $479
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 Professional Modifier None Typical Low $47.86 Median $61.66 Typical High $489.78 | Professional | None | $47.86 | $61.66 | $489.78 |
BCBS Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
BCBS Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $562.34 | Professional | None | $363.08 | $398.11 | $562.34 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $67.61 | Professional | None | $39.81 | $50.12 | $67.61 |
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 Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | QK · Directing 2–4 cases | $229.09 | $229.09 | $229.09 |