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 $39.81 Median $302.00 Typical High $302.00 | Facility | None | $39.81 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $309.03 | Professional | None | $39.81 | $39.81 | $309.03 |
BCBS Setting Professional Modifier None Typical Low $181.97 Median $257.04 Typical High $302.00 | Professional | None | $181.97 | $257.04 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $199.53 Typical High $239.88 | Professional | None | $151.36 | $199.53 | $239.88 |
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 $47.86 Median $64.57 Typical High $1,122.02 | Professional | None | $47.86 | $64.57 | $1,122.02 |
United Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $61.66 | Professional | None | $46.77 | $51.29 | $61.66 |
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 $257.04 Median $257.04 Typical High $257.04 | Professional | QZ · CRNA, independent | $257.04 | $257.04 | $257.04 |