How much rates vary
Facilitymedian $302 · 10th to 90th $40 to $302Professionalmedian $257 · 10th to 90th $162 to $891
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 $39.81 Median $302.00 Typical High $302.00 | Facility | None | $39.81 | $302.00 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $275.42 | Professional | None | $39.81 | $39.81 | $275.42 |
BCBS Oklahoma Setting Professional Modifier None Typical Low $199.53 Median $257.04 Typical High $302.00 | Professional | None | $199.53 | $257.04 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $199.53 Typical High $239.88 | Professional | None | $151.36 | $199.53 | $239.88 |
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 $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
3 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 $7.94 Median $7.94 Typical High $7.94 | Professional | 53 · Discontinued | $7.94 | $7.94 | $7.94 |
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $79.43 Median $120.23 Typical High $120.23 | Professional | AA · Anesthesiologist | $79.43 | $120.23 | $120.23 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $93.33 Median $104.71 Typical High $144.54 | Professional | QZ · CRNA, independent | $93.33 | $104.71 | $144.54 |