How much rates vary
Facilitymedian $437 · 10th to 90th $30 to $851Professionalmedian $151 · 10th to 90th $30 to $398
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $30.20 Median $436.52 Typical High $851.14 | Facility | None | $30.20 | $436.52 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $676.08 | Professional | None | $30.20 | $37.15 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $8.32 | Professional | 53 · Discontinued | $6.03 | $6.03 | $8.32 |
BCBS North Carolina Setting Professional Modifier None Typical Low $125.89 Median $151.36 Typical High $151.36 | Professional | None | $125.89 | $151.36 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $302.00 Typical High $676.08 | Professional | None | $269.15 | $302.00 | $676.08 |
Medcost Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Oscar Health Setting Professional Modifier None Typical Low $9.77 Median $37.15 Typical High $89.13 | Professional | None | $9.77 | $37.15 | $89.13 |
United Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
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 QK · Directing 2–4 cases Typical Low $89.13 Median $128.82 Typical High $562.34 | Professional | QK · Directing 2–4 cases | $89.13 | $128.82 | $562.34 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $125.89 Median $162.18 Typical High $794.33 | Professional | QX · CRNA, directed | $125.89 | $162.18 | $794.33 |