How much rates vary
Facilitymedian $316 · 10th to 90th $42 to $468Professionalmedian $309 · 10th to 90th $42 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 $41.69 Median $363.08 Typical High $537.03 | Facility | None | $41.69 | $363.08 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $537.03 | Professional | None | $41.69 | $44.67 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $309.03 | Professional | None | $190.55 | $223.87 | $309.03 |
BCBS Kansas City Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $58.88 | Professional | None | $51.29 | $54.95 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $363.08 Typical High $501.19 | Professional | None | $275.42 | $363.08 | $501.19 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $8.32 | $8.32 | $8.32 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $112.20 Median $151.36 Typical High $158.49 | Professional | QX · CRNA, directed | $112.20 | $151.36 | $158.49 |