How much rates vary
Facilitymedian $62 · 10th to 90th $48 to $490Professionalmedian $331 · 10th to 90th $48 to $617
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 $47.86 Median $47.86 Typical High $489.78 | Facility | None | $47.86 | $47.86 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $630.96 | Professional | None | $40.74 | $47.86 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $331.13 Typical High $524.81 | Professional | None | $190.55 | $331.13 | $524.81 |
CareSource Setting Facility Modifier None Typical Low $107.15 Median $141.25 Typical High $363.08 | Facility | None | $107.15 | $141.25 | $363.08 |
CareSource Setting Professional Modifier None Typical Low $104.71 Median $177.83 Typical High $371.54 | Professional | None | $104.71 | $177.83 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $524.81 Typical High $1,202.26 | Professional | None | $363.08 | $524.81 | $1,202.26 |
Molina Setting Professional Modifier None Typical Low $436.52 Median $446.68 Typical High $446.68 | Professional | None | $436.52 | $446.68 | $446.68 |
United Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $70.79 | Professional | None | $43.65 | $53.70 | $70.79 |
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 $251.19 Median $251.19 Typical High $251.19 | Professional | QK · Directing 2–4 cases | $251.19 | $251.19 | $251.19 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | QX · CRNA, directed | $251.19 | $251.19 | $251.19 |