How much rates vary
Facilitymedian $776 · 10th to 90th $40 to $832Professionalmedian $501 · 10th to 90th $40 to $7,079
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 $39.81 Median $776.25 Typical High $831.76 | Facility | None | $39.81 | $776.25 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $831.76 | Professional | None | $39.81 | $47.86 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $891.25 | Professional | None | $467.74 | $549.54 | $891.25 |
Lucent Health Setting Professional Modifier None Typical Low $2,630.27 Median $7,079.46 Typical High $7,079.46 | Professional | None | $2,630.27 | $7,079.46 | $7,079.46 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $77.62 | Professional | None | $39.81 | $50.12 | $77.62 |
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 $229.09 Median $234.42 Typical High $1,288.25 | Professional | QK · Directing 2–4 cases | $229.09 | $234.42 | $1,288.25 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $229.09 Median $234.42 Typical High $257.04 | Professional | QX · CRNA, directed | $229.09 | $234.42 | $257.04 |