How much rates vary
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 $645.65 Median $954.99 Typical High $954.99 | Facility | None | $645.65 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $891.25 Typical High $954.99 | Professional | None | $43.65 | $891.25 | $954.99 |
BCBS Setting Facility Modifier None Typical Low $44.67 Median $60.26 Typical High $123.03 | Facility | None | $44.67 | $60.26 | $123.03 |
BCBS Setting Professional Modifier None Typical Low $891.25 Median $912.01 Typical High $933.25 | Professional | None | $891.25 | $912.01 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $851.14 Typical High $1,000.00 | Professional | None | $831.76 | $851.14 | $1,000.00 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $2,691.53 | Professional | None | $54.95 | $64.57 | $2,691.53 |
Oscar Health Setting Professional Modifier None Typical Low $10.96 Median $12.88 Typical High $22.91 | Professional | None | $10.96 | $12.88 | $22.91 |
United Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $83.18 | Professional | None | $56.23 | $64.57 | $83.18 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $8.71 | $8.71 | $8.71 |