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 Facility Modifier None Typical Low $21.38 Median $38.02 Typical High $1,023.29 | Facility | None | $21.38 | $38.02 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $38.02 Typical High $954.99 | Professional | None | $21.38 | $38.02 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $537.03 Typical High $1,047.13 | Professional | None | $467.74 | $537.03 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $812.83 Typical High $1,202.26 | Professional | None | $645.65 | $812.83 | $1,202.26 |
Hometown Health Setting Professional Modifier None Typical Low $676.08 Median $912.01 Typical High $1,445.44 | Professional | None | $676.08 | $912.01 | $1,445.44 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $562.34 Median $1,047.13 Typical High $1,148.15 | Professional | None | $562.34 | $1,047.13 | $1,148.15 |
United Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $79.43 | Professional | None | $34.67 | $47.86 | $79.43 |
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 $407.38 Median $407.38 Typical High $407.38 | Professional | QZ · CRNA, independent | $407.38 | $407.38 | $407.38 |