How much rates vary
Facilitymedian $38 · 10th to 90th $21 to $4,266Professionalmedian $269 · 10th to 90th $38 to $603
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 $588.84 | Facility | None | $21.38 | $38.02 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $38.02 Typical High $537.03 | Professional | None | $21.38 | $38.02 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $269.15 Median $309.03 Typical High $588.84 | Professional | None | $269.15 | $309.03 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $436.52 Typical High $645.65 | Professional | None | $346.74 | $436.52 | $645.65 |
Hometown Health Setting Professional Modifier None Typical Low $389.05 Median $524.81 Typical High $812.83 | Professional | None | $389.05 | $524.81 | $812.83 |
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 $323.59 Median $602.56 Typical High $660.69 | Professional | None | $323.59 | $602.56 | $660.69 |
United Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $79.43 | Professional | None | $34.67 | $47.86 | $79.43 |
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 $223.87 Median $263.03 Typical High $831.76 | Professional | AA · Anesthesiologist | $223.87 | $263.03 | $831.76 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $223.87 Median $245.47 Typical High $407.38 | Professional | QZ · CRNA, independent | $223.87 | $245.47 | $407.38 |