How much rates vary
Facilitymedian $676 · 10th to 90th $437 to $1,072Professionalmedian $52 · 10th to 90th $22 to $977
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 $436.52 Median $676.08 Typical High $1,071.52 | Facility | None | $436.52 | $676.08 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $660.69 Typical High $1,071.52 | Professional | None | $50.12 | $660.69 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $891.25 Typical High $977.24 | Professional | None | $831.76 | $891.25 | $977.24 |
Hally Health Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $977.24 | Professional | None | $512.86 | $602.56 | $977.24 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $2,691.53 | Professional | None | $45.71 | $61.66 | $2,691.53 |
Oscar Health Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $47.86 | Professional | None | $19.50 | $23.44 | $47.86 |
United Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $85.11 | Professional | None | $44.67 | $54.95 | $85.11 |
Wellmark Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,023.29 | Professional | None | $812.83 | $812.83 | $1,023.29 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $8.32 | $11.48 | $11.48 |
Wellmark Setting Professional Modifier QX · CRNA, directed Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | QX · CRNA, directed | $512.86 | $512.86 | $512.86 |