How much rates vary
Facilitymedian $490 · 10th to 90th $40 to $525Professionalmedian $490 · 10th to 90th $40 to $3,388
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 $489.78 Typical High $524.81 | Facility | None | $39.81 | $489.78 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $524.81 | Professional | None | $39.81 | $47.86 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $9.55 | Professional | 53 · Discontinued | $7.94 | $7.94 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $537.03 | Professional | None | $281.84 | $331.13 | $537.03 |
Lucent Health Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $3,388.44 | Professional | None | $1,258.93 | $1,258.93 | $3,388.44 |
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 $316.23 Median $316.23 Typical High $316.23 | Professional | AA · Anesthesiologist | $316.23 | $316.23 | $316.23 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $181.97 Median $204.17 Typical High $234.42 | Professional | QZ · CRNA, independent | $181.97 | $204.17 | $234.42 |