How much rates vary
Facilitymedian $871 · 10th to 90th $32 to $1,259Professionalmedian $155 · 10th to 90th $38 to $1,259
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 $32.36 Median $870.96 Typical High $1,258.93 | Facility | None | $32.36 | $870.96 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $1,258.93 | Professional | None | $32.36 | $33.88 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $891.25 Median $933.25 Typical High $1,318.26 | Professional | None | $891.25 | $933.25 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $933.25 Typical High $1,412.54 | Professional | None | $588.84 | $933.25 | $1,412.54 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $100.00 | Professional | None | $50.12 | $60.26 | $100.00 |
United Setting Professional Modifier None Typical Low $50.12 Median $64.57 Typical High $100.00 | Professional | None | $50.12 | $64.57 | $100.00 |
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 QK · Directing 2–4 cases Typical Low $363.08 Median $1,000.00 Typical High $1,000.00 | Professional | QK · Directing 2–4 cases | $363.08 | $1,000.00 | $1,000.00 |