How much rates vary
Facilitymedian $50 · 10th to 90th $50 to $50Professionalmedian $191 · 10th to 90th $52 to $263
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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $371.54 | Professional | None | $40.74 | $47.86 | $371.54 |
BCBS New Mexico Setting Professional Modifier None Typical Low $91.20 Median $190.55 Typical High $199.53 | Professional | None | $91.20 | $190.55 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $316.23 | Professional | None | $218.78 | $218.78 | $316.23 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $89.13 | Professional | None | $54.95 | $54.95 | $89.13 |
Providence Setting Professional Modifier None Typical Low $218.78 Median $251.19 Typical High $389.05 | Professional | None | $218.78 | $251.19 | $389.05 |
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 $7.59 Median $9.55 Typical High $10.00 | Professional | 53 · Discontinued | $7.59 | $9.55 | $10.00 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | QZ · CRNA, independent | $109.65 | $109.65 | $109.65 |