How much rates vary
Facilitymedian $631 · 10th to 90th $40 to $676Professionalmedian $398 · 10th to 90th $40 to $4,677
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 $630.96 Typical High $676.08 | Facility | None | $39.81 | $630.96 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $676.08 | Professional | None | $39.81 | $47.86 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $436.52 Typical High $707.95 | Professional | None | $380.19 | $436.52 | $707.95 |
Lucent Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $4,677.35 | Professional | None | $2,137.96 | $2,137.96 | $4,677.35 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $77.62 | Professional | None | $39.81 | $50.12 | $77.62 |
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 $173.78 Median $173.78 Typical High $251.19 | Professional | QK · Directing 2–4 cases | $173.78 | $173.78 | $251.19 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $489.78 Median $489.78 Typical High $645.65 | Professional | QZ · CRNA, independent | $489.78 | $489.78 | $645.65 |