How much rates vary
Facilitymedian $275 · 10th to 90th $45 to $398Professionalmedian $234 · 10th to 90th $45 to $302
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 $44.67 Median $275.42 Typical High $398.11 | Facility | None | $44.67 | $275.42 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $346.74 | Professional | None | $41.69 | $44.67 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $8.51 | $8.91 | $8.91 |
BCBS Illinois Setting Professional Modifier None Typical Low $229.09 Median $251.19 Typical High $302.00 | Professional | None | $229.09 | $251.19 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $323.59 | Professional | None | $158.49 | $239.88 | $323.59 |
Hally Health Setting Professional Modifier None Typical Low $114.82 Median $213.80 Typical High $323.59 | Professional | None | $114.82 | $213.80 | $323.59 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $181.97 | Professional | None | $151.36 | $151.36 | $181.97 |
United Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
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 $123.03 Median $141.25 Typical High $275.42 | Professional | AA · Anesthesiologist | $123.03 | $141.25 | $275.42 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $64.57 Median $81.28 Typical High $107.15 | Professional | QK · Directing 2–4 cases | $64.57 | $81.28 | $107.15 |