How much rates vary
Facilitymedian $631 · 10th to 90th $42 to $1,047Professionalmedian $195 · 10th to 90th $51 to $724
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 $41.69 Median $660.69 Typical High $1,047.13 | Facility | None | $41.69 | $660.69 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $794.33 | Professional | None | $39.81 | $41.69 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $562.34 Typical High $870.96 | Professional | None | $363.08 | $562.34 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $467.74 Typical High $851.14 | Professional | None | $389.05 | $467.74 | $851.14 |
Emblem Health Setting Professional Modifier None Typical Low $51.29 Median $131.83 Typical High $1,023.29 | Professional | None | $51.29 | $131.83 | $1,023.29 |
Excellus BCBS Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $426.58 | Professional | None | $100.00 | $120.23 | $426.58 |
MVP Health Care Setting Professional Modifier None Typical Low $218.78 Median $707.95 Typical High $870.96 | Professional | None | $218.78 | $707.95 | $870.96 |
United Setting Professional Modifier None Typical Low $52.48 Median $70.79 Typical High $120.23 | Professional | None | $52.48 | $70.79 | $120.23 |
Univera Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $263.03 | Facility | None | $123.03 | $123.03 | $263.03 |
Univera Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $426.58 | Professional | None | $100.00 | $120.23 | $426.58 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases Typical Low $1,995.26 Median $1,995.26 Typical High $2,454.71 | Professional | QK · Directing 2–4 cases | $1,995.26 | $1,995.26 | $2,454.71 |