How much rates vary
Facilitymedian $331 · 10th to 90th $30 to $692Professionalmedian $251 · 10th to 90th $34 to $513
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 $30.20 Median $30.20 Typical High $851.14 | Facility | None | $30.20 | $30.20 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $36.31 Typical High $501.19 | Professional | None | $30.20 | $36.31 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.76 Typical High $8.32 | Professional | 53 · Discontinued | $6.03 | $6.76 | $8.32 |
AmeriHealth Setting Facility Modifier None Typical Low $234.42 Median $446.68 Typical High $691.83 | Facility | None | $234.42 | $446.68 | $691.83 |
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 $64.57 Median $323.59 Typical High $588.84 | Professional | None | $64.57 | $323.59 | $588.84 |
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 $70.79 Typical High $125.89 | Professional | None | $52.48 | $70.79 | $125.89 |
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 $478.63 Median $478.63 Typical High $478.63 | Professional | QX · CRNA, directed | $478.63 | $478.63 | $478.63 |