How much rates vary
Facilitymedian $30 · 10th to 90th $30 to $34Professionalmedian $148 · 10th to 90th $34 to $525
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 $30.20 Median $30.20 Typical High $33.88 | Facility | None | $30.20 | $30.20 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $33.88 Typical High $524.81 | Professional | None | $30.20 | $33.88 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $363.08 Typical High $562.34 | Professional | None | $239.88 | $363.08 | $562.34 |
Emblem Health Setting Professional Modifier None Typical Low $81.28 Median $398.11 Typical High $724.44 | Professional | None | $81.28 | $398.11 | $724.44 |
Horizon BCBS Setting Professional Modifier None Typical Low $251.19 Median $263.03 Typical High $549.54 | Professional | None | $251.19 | $263.03 | $549.54 |
United Setting Professional Modifier None Typical Low $52.48 Median $79.43 Typical High $141.25 | Professional | None | $52.48 | $79.43 | $141.25 |
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 $870.96 Median $870.96 Typical High $870.96 | Professional | QX · CRNA, directed | $870.96 | $870.96 | $870.96 |