How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $41.69 Median $851.14 Typical High $1,348.96 | Facility | None | $41.69 | $851.14 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $1,023.29 | Professional | None | $39.81 | $41.69 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $724.44 Typical High $1,122.02 | Professional | None | $467.74 | $724.44 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $616.60 Typical High $1,122.02 | Professional | None | $524.81 | $616.60 | $1,122.02 |
Emblem Health Setting Professional Modifier None Typical Low $64.57 Median $177.83 Typical High $1,318.26 | Professional | None | $64.57 | $177.83 | $1,318.26 |
Excellus BCBS Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $562.34 | Professional | None | $134.90 | $158.49 | $562.34 |
MVP Health Care Setting Professional Modifier None Typical Low $275.42 Median $912.01 Typical High $1,122.02 | Professional | None | $275.42 | $912.01 | $1,122.02 |
United Setting Professional Modifier None Typical Low $52.48 Median $70.79 Typical High $120.23 | Professional | None | $52.48 | $70.79 | $120.23 |
Univera Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $354.81 | Facility | None | $162.18 | $162.18 | $354.81 |
Univera Setting Professional Modifier None Typical Low $134.90 Median $158.49 Typical High $562.34 | Professional | None | $134.90 | $158.49 | $562.34 |
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 QZ · CRNA, independent Typical Low $2,187.76 Median $2,187.76 Typical High $2,187.76 | Professional | QZ · CRNA, independent | $2,187.76 | $2,187.76 | $2,187.76 |
Highmark BCBS Setting Professional Modifier AA · Anesthesiologist Typical Low $851.14 Median $1,000.00 Typical High $3,388.44 | Professional | AA · Anesthesiologist | $851.14 | $1,000.00 | $3,388.44 |