How much rates vary
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 $43.65 Median $281.84 Typical High $309.03 | Facility | None | $43.65 | $281.84 | $309.03 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $323.59 | Professional | None | $39.81 | $46.77 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $7.94 | $9.33 | $9.33 |
BCBS Kansas Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $309.03 Typical High $309.03 | Professional | None | $199.53 | $309.03 | $309.03 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Medica Setting Professional Modifier None Typical Low $102.33 Median $891.25 Typical High $891.25 | Professional | None | $102.33 | $891.25 | $891.25 |
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 AA · Anesthesiologist Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | AA · Anesthesiologist | $123.03 | $123.03 | $123.03 |