How much rates vary
Facilitymedian $58 · 10th to 90th $40 to $813Professionalmedian $52 · 10th to 90th $40 to $661
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 $57.54 Typical High $812.83 | Facility | None | $39.81 | $57.54 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $707.95 | Professional | None | $39.81 | $57.54 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $9.55 Typical High $11.48 | Professional | 53 · Discontinued | $7.94 | $9.55 | $11.48 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $741.31 | Professional | None | $549.54 | $549.54 | $741.31 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $57.54 | Professional | None | $39.81 | $50.12 | $57.54 |
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 $269.15 Median $269.15 Typical High $269.15 | Professional | QK · Directing 2–4 cases | $269.15 | $269.15 | $269.15 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | QX · CRNA, directed | $269.15 | $269.15 | $269.15 |