How much rates vary
Facilitymedian $50 · 10th to 90th $50 to $50Professionalmedian $251 · 10th to 90th $48 to $437
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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $588.84 | Professional | None | $40.74 | $47.86 | $588.84 |
BCBS New Mexico Setting Professional Modifier None Typical Low $147.91 Median $302.00 Typical High $323.59 | Professional | None | $147.91 | $302.00 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $549.54 | Professional | None | $389.05 | $389.05 | $549.54 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $208.93 | Professional | None | $128.82 | $128.82 | $208.93 |
Providence Setting Professional Modifier None Typical Low $389.05 Median $436.52 Typical High $630.96 | Professional | None | $389.05 | $436.52 | $630.96 |
United Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $79.43 | Professional | None | $38.02 | $54.95 | $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 QX · CRNA, directed Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | QX · CRNA, directed | $154.88 | $154.88 | $154.88 |