How much rates vary
Facilitymedian $224 · 10th to 90th $42 to $331Professionalmedian $72 · 10th to 90th $41 to $1,122
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 $41.69 Median $257.04 Typical High $380.19 | Facility | None | $41.69 | $257.04 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $380.19 | Professional | None | $41.69 | $46.77 | $380.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $208.93 Median $251.19 Typical High $407.38 | Professional | None | $208.93 | $251.19 | $407.38 |
BCBS Kansas City Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $58.88 | Professional | None | $51.29 | $54.95 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $245.47 Typical High $338.84 | Professional | None | $181.97 | $245.47 | $338.84 |
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 $39.81 Median $69.18 Typical High $1,122.02 | Professional | None | $39.81 | $69.18 | $1,122.02 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $75.86 | Professional | None | $39.81 | $50.12 | $75.86 |
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 $257.04 Median $257.04 Typical High $660.69 | Professional | AA · Anesthesiologist | $257.04 | $257.04 | $660.69 |
Qualchoice Setting Professional Modifier AA · Anesthesiologist Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | AA · Anesthesiologist | $758.58 | $758.58 | $758.58 |