How much rates vary
Facilitymedian $50 · 10th to 90th $50 to $50Professionalmedian $363 · 10th to 90th $48 to $692
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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $891.25 | Professional | None | $44.67 | $47.86 | $891.25 |
BCBS New Mexico Setting Professional Modifier None Typical Low $218.78 Median $457.09 Typical High $478.63 | Professional | None | $218.78 | $457.09 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $870.96 | Professional | None | $602.56 | $602.56 | $870.96 |
Molina Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $331.13 | Professional | None | $204.17 | $204.17 | $331.13 |
Providence Setting Professional Modifier None Typical Low $602.56 Median $691.83 Typical High $933.25 | Professional | None | $602.56 | $691.83 | $933.25 |
United Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $79.43 | Professional | None | $38.02 | $54.95 | $79.43 |
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 $7.59 Median $9.55 Typical High $10.00 | Professional | 53 · Discontinued | $7.59 | $9.55 | $10.00 |