How much rates vary
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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $338.84 | Professional | None | $34.67 | $34.67 | $338.84 |
BCBS Arizona Setting Professional Modifier None Typical Low $158.49 Median $181.97 Typical High $269.15 | Professional | None | $158.49 | $181.97 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $281.84 Typical High $363.08 | Professional | None | $204.17 | $281.84 | $363.08 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $104.71 | Facility | None | $81.28 | $81.28 | $104.71 |
Medica Setting Professional Modifier None Typical Low $34.67 Median $63.10 Typical High $1,122.02 | Professional | None | $34.67 | $63.10 | $1,122.02 |
United Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $74.13 | Professional | None | $33.11 | $42.66 | $74.13 |
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 $223.87 Median $501.19 Typical High $870.96 | Professional | AA · Anesthesiologist | $223.87 | $501.19 | $870.96 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $309.03 Median $309.03 Typical High $616.60 | Professional | QZ · CRNA, independent | $309.03 | $309.03 | $616.60 |