How much rates vary
Facilitymedian $81 · 10th to 90th $81 to $105Professionalmedian $50 · 10th to 90th $35 to $1,585
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 $467.74 | Professional | None | $34.67 | $34.67 | $467.74 |
BCBS Arizona Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $407.38 | Professional | None | $239.88 | $275.42 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $549.54 | Professional | None | $309.03 | $416.87 | $549.54 |
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 $64.57 Typical High $1,584.89 | Professional | None | $34.67 | $64.57 | $1,584.89 |
United Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $74.13 | Professional | None | $33.11 | $42.66 | $74.13 |
2 more rates 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 $380.19 Median $489.78 Typical High $562.34 | Professional | QK · Directing 2–4 cases | $380.19 | $489.78 | $562.34 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $426.58 Median $537.03 Typical High $707.95 | Professional | QX · CRNA, directed | $426.58 | $537.03 | $707.95 |