How much rates vary
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 Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $758.58 | Professional | None | $34.67 | $34.67 | $758.58 |
BCBS Setting Professional Modifier None Typical Low $398.11 Median $457.09 Typical High $676.08 | Professional | None | $398.11 | $457.09 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $707.95 Typical High $912.01 | Professional | None | $512.86 | $707.95 | $912.01 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $104.71 | Facility | None | $81.28 | $81.28 | $104.71 |
Medica Setting Professional Modifier None Typical Low $34.67 Median $60.26 Typical High $2,454.71 | Professional | None | $34.67 | $60.26 | $2,454.71 |
United Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $74.13 | Professional | None | $33.11 | $42.66 | $74.13 |
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 QZ · CRNA, independent Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | QZ · CRNA, independent | $1,174.90 | $1,174.90 | $1,174.90 |