How much rates vary
Facilitymedian $724 · 10th to 90th $40 to $724Professionalmedian $525 · 10th to 90th $48 to $2,692
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 $39.81 Median $724.44 Typical High $724.44 | Facility | None | $39.81 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $741.31 | Professional | None | $39.81 | $39.81 | $741.31 |
BCBS Setting Professional Modifier None Typical Low $436.52 Median $616.60 Typical High $724.44 | Professional | None | $436.52 | $616.60 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $549.54 Typical High $660.69 | Professional | None | $416.87 | $549.54 | $660.69 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Medica Setting Professional Modifier None Typical Low $47.86 Median $64.57 Typical High $2,691.53 | Professional | None | $47.86 | $64.57 | $2,691.53 |
United Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $61.66 | Professional | None | $46.77 | $51.29 | $61.66 |
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 $7.94 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.94 | $7.94 | $7.94 |