How much rates vary
Facilitymedian $62 · 10th to 90th $48 to $380Professionalmedian $214 · 10th to 90th $48 to $417
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 $47.86 Median $47.86 Typical High $389.05 | Facility | None | $47.86 | $47.86 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $489.78 | Professional | None | $40.74 | $47.86 | $489.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $257.04 | Professional | None | $199.53 | $199.53 | $257.04 |
CareSource Setting Facility Modifier None Typical Low $81.28 Median $109.65 Typical High $281.84 | Facility | None | $81.28 | $109.65 | $281.84 |
CareSource Setting Professional Modifier None Typical Low $77.62 Median $138.04 Typical High $288.40 | Professional | None | $77.62 | $138.04 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $380.19 Typical High $933.25 | Professional | None | $269.15 | $380.19 | $933.25 |
Molina Setting Professional Modifier None Typical Low $323.59 Median $346.74 Typical High $346.74 | Professional | None | $323.59 | $346.74 | $346.74 |
United Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $44.67 | Professional | None | $30.20 | $30.20 | $44.67 |
3 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $8.71 | $9.55 | $9.55 |
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | AA · Anesthesiologist | $218.78 | $218.78 | $218.78 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $208.93 Median $275.42 Typical High $275.42 | Professional | QZ · CRNA, independent | $208.93 | $275.42 | $275.42 |