How much rates vary
Facilitymedian $794 · 10th to 90th $47 to $871Professionalmedian $60 · 10th to 90th $47 to $3,162
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 $46.77 Median $794.33 Typical High $870.96 | Facility | None | $46.77 | $794.33 | $870.96 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $933.25 | Professional | None | $39.81 | $46.77 | $933.25 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $1,000.00 Typical High $1,000.00 | Professional | None | $645.65 | $1,000.00 | $1,000.00 |
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 $52.48 Median $58.88 Typical High $3,162.28 | Professional | None | $52.48 | $58.88 | $3,162.28 |
United Setting Professional Modifier None Typical Low $50.12 Median $57.54 Typical High $69.18 | Professional | None | $50.12 | $57.54 | $69.18 |
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 $562.34 Median $562.34 Typical High $562.34 | Professional | QZ · CRNA, independent | $562.34 | $562.34 | $562.34 |