How much rates vary
Facilitymedian $81 · 10th to 90th $81 to $105Professionalmedian $50 · 10th to 90th $35 to $2,692
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 Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $812.83 | Professional | None | $34.67 | $34.67 | $812.83 |
BCBS Arizona Setting Professional Modifier None Typical Low $436.52 Median $501.19 Typical High $741.31 | Professional | None | $436.52 | $501.19 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $776.25 Typical High $1,000.00 | Professional | None | $562.34 | $776.25 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $104.71 | Facility | None | $81.28 | $81.28 | $104.71 |
Medica Setting Professional Modifier None Typical Low $34.67 Median $61.66 Typical High $2,691.53 | Professional | None | $34.67 | $61.66 | $2,691.53 |
United Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $74.13 | Professional | None | $33.11 | $42.66 | $74.13 |
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 $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | QK · Directing 2–4 cases | $1,174.90 | $1,174.90 | $1,174.90 |