How much rates vary
Facilitymedian $38 · 10th to 90th $21 to $4,266Professionalmedian $457 · 10th to 90th $38 to $912
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 $21.38 Median $38.02 Typical High $870.96 | Facility | None | $21.38 | $38.02 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $38.02 Typical High $831.76 | Professional | None | $21.38 | $38.02 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $7.59 Typical High $8.13 | Professional | 53 · Discontinued | $4.27 | $7.59 | $8.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $398.11 Median $457.09 Typical High $891.25 | Professional | None | $398.11 | $457.09 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $676.08 Typical High $1,023.29 | Professional | None | $549.54 | $676.08 | $1,023.29 |
Hometown Health Setting Professional Modifier None Typical Low $588.84 Median $776.25 Typical High $1,230.27 | Professional | None | $588.84 | $776.25 | $1,230.27 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $478.63 Median $912.01 Typical High $1,000.00 | Professional | None | $478.63 | $912.01 | $1,000.00 |
United Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $79.43 | Professional | None | $34.67 | $47.86 | $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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | AA · Anesthesiologist | $2,089.30 | $2,089.30 | $2,089.30 |