How much rates vary
Facilitymedian $832 · 10th to 90th $40 to $891Professionalmedian $550 · 10th to 90th $40 to $8,511
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 $831.76 Typical High $891.25 | Facility | None | $39.81 | $831.76 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $891.25 | Professional | None | $39.81 | $47.86 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $602.56 Typical High $977.24 | Professional | None | $512.86 | $602.56 | $977.24 |
Lucent Health Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $8,511.38 | Professional | None | $2,884.03 | $2,884.03 | $8,511.38 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $77.62 | Professional | None | $39.81 | $50.12 | $77.62 |
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 QK · Directing 2–4 cases Typical Low $169.82 Median $169.82 Typical High $302.00 | Professional | QK · Directing 2–4 cases | $169.82 | $169.82 | $302.00 |