How much rates vary
Facilitymedian $302 · 10th to 90th $32 to $447Professionalmedian $331 · 10th to 90th $32 to $468
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 $32.36 Median $302.00 Typical High $446.68 | Facility | None | $32.36 | $302.00 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $446.68 | Professional | None | $32.36 | $40.74 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $8.71 | Professional | 53 · Discontinued | $6.46 | $6.46 | $8.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $467.74 | Professional | None | $331.13 | $331.13 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $288.40 Typical High $436.52 | Professional | None | $181.97 | $288.40 | $436.52 |
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 $102.33 Median $131.83 Typical High $141.25 | Professional | AA · Anesthesiologist | $102.33 | $131.83 | $141.25 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $102.33 Median $107.15 Typical High $147.91 | Professional | QZ · CRNA, independent | $102.33 | $107.15 | $147.91 |