How much rates vary
Facilitymedian $35 · 10th to 90th $35 to $35Professionalmedian $62 · 10th to 90th $41 to $417
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 Professional Modifier None Typical Low $47.86 Median $61.66 Typical High $426.58 | Professional | None | $47.86 | $61.66 | $426.58 |
BCBS Alabama Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
BCBS Alabama Setting Professional Modifier 21 + 22 · Increased work + 24 · Unrelated visit after surgery Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 21 + 22 · Increased work + 24 · Unrelated visit after surgery | $457.09 | $457.09 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $338.84 Typical High $478.63 | Professional | None | $309.03 | $338.84 | $478.63 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $67.61 | Professional | None | $39.81 | $50.12 | $67.61 |
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 AD · Supervising 5+ Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | AD · Supervising 5+ | $138.04 | $138.04 | $138.04 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $97.72 Median $102.33 Typical High $144.54 | Professional | QX · CRNA, directed | $97.72 | $102.33 | $144.54 |