How much rates vary
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 $50.12 Median $851.14 Typical High $891.25 | Facility | None | $50.12 | $851.14 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $870.96 | Professional | None | $40.74 | $50.12 | $870.96 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $645.65 Median $2,884.03 Typical High $8,511.38 | Professional | None | $645.65 | $2,884.03 | $8,511.38 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $602.56 Typical High $954.99 | Professional | None | $562.34 | $602.56 | $954.99 |
Molina Setting Professional Modifier None Typical Low $75.86 Median $128.82 Typical High $257.04 | Professional | None | $75.86 | $128.82 | $257.04 |
Pacific Source Setting Facility Modifier None Typical Low $562.34 Median $630.96 Typical High $831.76 | Facility | None | $562.34 | $630.96 | $831.76 |
Premera BCBS Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $851.14 | Professional | None | $588.84 | $588.84 | $851.14 |
Regence BlueShield Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $933.25 | Professional | None | $645.65 | $645.65 | $933.25 |
United Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $83.18 | Professional | None | $45.71 | $56.23 | $83.18 |
Wellpoint Setting Professional Modifier None Typical Low $10.96 Median $223.87 Typical High $223.87 | Professional | None | $10.96 | $223.87 | $223.87 |
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 $812.83 Median $1,288.25 Typical High $2,137.96 | Professional | AA · Anesthesiologist | $812.83 | $1,288.25 | $2,137.96 |