How much rates vary
Facilitymedian $257 · 10th to 90th $50 to $380Professionalmedian $269 · 10th to 90th $50 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 $50.12 Median $269.15 Typical High $371.54 | Facility | None | $50.12 | $269.15 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $354.81 | Professional | None | $40.74 | $50.12 | $354.81 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $269.15 Median $891.25 Typical High $2,398.83 | Professional | None | $269.15 | $891.25 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $218.78 Typical High $346.74 | Professional | None | $204.17 | $218.78 | $346.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $251.19 Typical High $407.38 | Professional | None | $151.36 | $251.19 | $407.38 |
Molina Setting Professional Modifier None Typical Low $34.67 Median $63.10 Typical High $75.86 | Professional | None | $34.67 | $63.10 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $234.42 Median $257.04 Typical High $380.19 | Facility | None | $234.42 | $257.04 | $380.19 |
Premera BCBS Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $309.03 | Professional | None | $213.80 | $213.80 | $309.03 |
Regence BlueShield Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $389.05 | Professional | None | $269.15 | $269.15 | $389.05 |
United Setting Professional Modifier None Typical Low $52.48 Median $56.23 Typical High $58.88 | Professional | None | $52.48 | $56.23 | $58.88 |
Wellpoint Setting Professional Modifier None Typical Low $3.98 Median $61.66 Typical High $61.66 | Professional | None | $3.98 | $61.66 | $61.66 |
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 $8.91 Median $10.00 Typical High $10.72 | Professional | 53 · Discontinued | $8.91 | $10.00 | $10.72 |
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $169.82 Median $194.98 Typical High $524.81 | Professional | AA · Anesthesiologist | $169.82 | $194.98 | $524.81 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $102.33 Median $158.49 Typical High $234.42 | Professional | QZ · CRNA, independent | $102.33 | $158.49 | $234.42 |