How much rates vary
Facilitymedian $316 · 10th to 90th $42 to $468Professionalmedian $72 · 10th to 90th $41 to $1,585
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 $41.69 Median $363.08 Typical High $537.03 | Facility | None | $41.69 | $363.08 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $537.03 | Professional | None | $41.69 | $44.67 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $288.40 Median $346.74 Typical High $562.34 | Professional | None | $288.40 | $346.74 | $562.34 |
BCBS Kansas City Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $58.88 | Professional | None | $51.29 | $54.95 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $363.08 Typical High $501.19 | Professional | None | $275.42 | $363.08 | $501.19 |
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 $39.81 Median $69.18 Typical High $1,584.89 | Professional | None | $39.81 | $69.18 | $1,584.89 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $75.86 | Professional | None | $39.81 | $50.12 | $75.86 |
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 QK · Directing 2–4 cases Typical Low $199.53 Median $204.17 Typical High $218.78 | Professional | QK · Directing 2–4 cases | $199.53 | $204.17 | $218.78 |
Qualchoice Setting Professional Modifier QZ · CRNA, independent Typical Low $588.84 Median $588.84 Typical High $1,230.27 | Professional | QZ · CRNA, independent | $588.84 | $588.84 | $1,230.27 |