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 Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $562.34 | Professional | None | $34.67 | $34.67 | $562.34 |
BCBS Arizona Setting Professional Modifier None Typical Low $281.84 Median $323.59 Typical High $467.74 | Professional | None | $281.84 | $323.59 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $489.78 Typical High $630.96 | Professional | None | $354.81 | $489.78 | $630.96 |
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 $61.66 Typical High $1,819.70 | Professional | None | $34.67 | $61.66 | $1,819.70 |
United Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $74.13 | Professional | None | $33.11 | $42.66 | $74.13 |
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 QK · Directing 2–4 cases Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | QK · Directing 2–4 cases | $741.31 | $741.31 | $741.31 |