How much rates vary
Facilitymedian $123 · 10th to 90th $0 to $123Professionalmedian $52 · 10th to 90th $42 to $288
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 $288.40 Typical High $363.08 | Facility | None | $44.67 | $288.40 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $331.13 | Professional | None | $44.67 | $47.86 | $331.13 |
BCBS Louisiana Setting Facility Modifier None Typical Low $0.02 Median $0.02 Typical High $0.03 | Facility | None | $0.02 | $0.02 | $0.03 |
BCBS Louisiana 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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $251.19 Typical High $346.74 | Professional | None | $239.88 | $251.19 | $346.74 |
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 QK · Directing 2–4 cases Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | QK · Directing 2–4 cases | $457.09 | $457.09 | $457.09 |