How much rates vary
Facilitymedian $81 · 10th to 90th $81 to $81Professionalmedian $331 · 10th to 90th $35 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 Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $478.63 | Professional | None | $34.67 | $34.67 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $8.32 | Professional | 53 · Discontinued | $7.08 | $7.08 | $8.32 |
BCBS Arizona Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $407.38 | Professional | None | $239.88 | $275.42 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $416.87 Typical High $549.54 | Professional | None | $309.03 | $416.87 | $549.54 |
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 $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
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 AA · Anesthesiologist Typical Low $239.88 Median $758.58 Typical High $812.83 | Professional | AA · Anesthesiologist | $239.88 | $758.58 | $812.83 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $102.33 Median $354.81 Typical High $446.68 | Professional | QX · CRNA, directed | $102.33 | $354.81 | $446.68 |