How much rates vary
Facilitymedian $832 · 10th to 90th $724 to $1,072Professionalmedian $417 · 10th to 90th $43 to $1,072
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 $724.44 Median $831.76 Typical High $1,071.52 | Facility | None | $724.44 | $831.76 | $1,071.52 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $41.69 Typical High $1,096.48 | Professional | None | $32.36 | $41.69 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $776.25 Median $794.33 Typical High $1,122.02 | Professional | None | $776.25 | $794.33 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $794.33 Typical High $1,202.26 | Professional | None | $489.78 | $794.33 | $1,202.26 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $100.00 | Professional | None | $50.12 | $60.26 | $100.00 |
United Setting Professional Modifier None Typical Low $50.12 Median $64.57 Typical High $100.00 | Professional | None | $50.12 | $64.57 | $100.00 |
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 $6.46 Median $6.46 Typical High $8.71 | Professional | 53 · Discontinued | $6.46 | $6.46 | $8.71 |
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | AA · Anesthesiologist | $1,348.96 | $1,348.96 | $1,348.96 |