How much rates vary
Facilitymedian $162 · 10th to 90th $0 to $162Professionalmedian $52 · 10th to 90th $42 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 $44.67 Median $524.81 Typical High $660.69 | Facility | None | $44.67 | $524.81 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $602.56 | Professional | None | $44.67 | $47.86 | $602.56 |
BCBS Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
BCBS Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Christus Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $501.19 Typical High $691.83 | Professional | None | $478.63 | $501.19 | $691.83 |
United Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $60.26 | Professional | None | $39.81 | $47.86 | $60.26 |
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 $512.86 Median $512.86 Typical High $512.86 | Professional | QZ · CRNA, independent | $512.86 | $512.86 | $512.86 |