How much rates vary
Facilitymedian $38 · 10th to 90th $21 to $4,266Professionalmedian $191 · 10th to 90th $38 to $372
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 $21.38 Median $38.02 Typical High $363.08 | Facility | None | $21.38 | $38.02 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $38.02 Typical High $338.84 | Professional | None | $21.38 | $38.02 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $165.96 Median $190.55 Typical High $371.54 | Professional | None | $165.96 | $190.55 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $245.47 Typical High $371.54 | Professional | None | $199.53 | $245.47 | $371.54 |
Hometown Health Setting Professional Modifier None Typical Low $239.88 Median $323.59 Typical High $512.86 | Professional | None | $239.88 | $323.59 | $512.86 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $199.53 Median $380.19 Typical High $416.87 | Professional | None | $199.53 | $380.19 | $416.87 |
United Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $79.43 | Professional | None | $34.67 | $47.86 | $79.43 |
1 more rate 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 $380.19 Median $380.19 Typical High $380.19 | Professional | AA · Anesthesiologist | $380.19 | $380.19 | $380.19 |