How much rates vary
Facilitymedian $1,479 · 10th to 90th $91 to $1,950Professionalmedian $977 · 10th to 90th $48 to $1,479
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 $1,479.11 Typical High $1,949.84 | Facility | None | $91.20 | $1,479.11 | $1,949.84 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $1,584.89 | Professional | None | $47.86 | $47.86 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,318.26 | Professional | None | $977.24 | $977.24 | $1,318.26 |
CareSource Setting Professional Modifier None Typical Low $239.88 Median $251.19 Typical High $758.58 | Professional | None | $239.88 | $251.19 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,659.59 | Professional | None | $660.69 | $1,000.00 | $1,659.59 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,513.56 | Professional | None | $660.69 | $1,000.00 | $1,513.56 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $165.96 Typical High $316.23 | Professional | None | $52.48 | $165.96 | $316.23 |
SummaCare Setting Professional Modifier None Typical Low $389.05 Median $912.01 Typical High $1,348.96 | Professional | None | $389.05 | $912.01 | $1,348.96 |
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 QK · Directing 2–4 cases Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | QK · Directing 2–4 cases | $1,513.56 | $1,513.56 | $1,513.56 |
Aultcare Setting Professional Modifier QK · Directing 2–4 cases + QX · CRNA, directed Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $794.33 | $794.33 | $794.33 |