How much rates vary
Facilitymedian $933 · 10th to 90th $91 to $1,230Professionalmedian $562 · 10th to 90th $48 to $851
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 $91.20 Median $933.25 Typical High $1,230.27 | Facility | None | $91.20 | $933.25 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $1,000.00 | Professional | None | $47.86 | $47.86 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.55 Typical High $18.62 | Professional | 53 · Discontinued | $8.91 | $9.55 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $831.76 | Professional | None | $616.60 | $616.60 | $831.76 |
CareSource Setting Professional Modifier None Typical Low $147.91 Median $158.49 Typical High $478.63 | Professional | None | $147.91 | $158.49 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $616.60 Typical High $1,000.00 | Professional | None | $407.38 | $616.60 | $1,000.00 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $407.38 Median $602.56 Typical High $933.25 | Professional | None | $407.38 | $602.56 | $933.25 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $102.33 Typical High $190.55 | Professional | None | $52.48 | $102.33 | $190.55 |
SummaCare Setting Professional Modifier None Typical Low $234.42 Median $549.54 Typical High $812.83 | Professional | None | $234.42 | $549.54 | $812.83 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $79.43 | Professional | None | $39.81 | $52.48 | $79.43 |
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 AA · Anesthesiologist Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | AA · Anesthesiologist | $1,288.25 | $1,288.25 | $1,288.25 |
Aultcare Setting Professional Modifier QZ · CRNA, independent Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | QZ · CRNA, independent | $1,000.00 | $1,000.00 | $1,000.00 |