How much rates vary
Facilitymedian $871 · 10th to 90th $182 to $3,802Professionalmedian $47 · 10th to 90th $19 to $427
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $181.97 Median $275.42 Typical High $446.68 | Facility | None | $181.97 | $275.42 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $181.97 Typical High $446.68 | Professional | None | $43.65 | $181.97 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $354.81 | Professional | None | $302.00 | $323.59 | $354.81 |
Hally Health Setting Professional Modifier None Typical Low $169.82 Median $199.53 Typical High $323.59 | Professional | None | $169.82 | $199.53 | $323.59 |
Medica Setting Facility Modifier None Typical Low $10.00 Median $23.44 Typical High $154.88 | Facility | None | $10.00 | $23.44 | $154.88 |
Medica Setting Professional Modifier None Typical Low $16.22 Median $891.25 Typical High $891.25 | Professional | None | $16.22 | $891.25 | $891.25 |
Oscar Health Setting Facility Modifier None Typical Low $870.96 Median $1,548.82 Typical High $4,365.16 | Facility | None | $870.96 | $1,548.82 | $4,365.16 |
Oscar Health Setting Professional Modifier None Typical Low $5.37 Median $23.44 Typical High $47.86 | Professional | None | $5.37 | $23.44 | $47.86 |
United Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Wellmark Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $426.58 | Professional | None | $338.84 | $338.84 | $426.58 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $8.32 | $11.48 | $11.48 |
Wellmark Setting Professional Modifier QX · CRNA, directed Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | QX · CRNA, directed | $213.80 | $213.80 | $213.80 |