How much rates vary
Facilitymedian $407 · 10th to 90th $407 to $407Professionalmedian $427 · 10th to 90th $42 to $2,138
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 $50.12 Typical High $478.63 | Facility | None | $41.69 | $50.12 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $676.08 | Professional | None | $41.69 | $50.12 | $676.08 |
BCBS Texas Setting Professional Modifier None Typical Low $371.54 Median $446.68 Typical High $912.01 | Professional | None | $371.54 | $446.68 | $912.01 |
Christus Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $416.87 Typical High $660.69 | Professional | None | $380.19 | $416.87 | $660.69 |
Lucent Health Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $4,677.35 | Professional | None | $2,137.96 | $2,137.96 | $4,677.35 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $380.19 Typical High $478.63 | Facility | None | $41.69 | $380.19 | $478.63 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $676.08 | Professional | None | $41.69 | $50.12 | $676.08 |
Molina Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $707.95 | Professional | None | $134.90 | $177.83 | $707.95 |
Oscar Health Setting Professional Modifier None Typical Low $14.13 Median $25.12 Typical High $54.95 | Professional | None | $14.13 | $25.12 | $54.95 |
Providence Setting Professional Modifier None Typical Low $380.19 Median $416.87 Typical High $645.65 | Professional | None | $380.19 | $416.87 | $645.65 |
United Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $75.86 | Professional | None | $47.86 | $54.95 | $75.86 |
Wellpoint Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
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 $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | QK · Directing 2–4 cases | $1,230.27 | $1,230.27 | $1,230.27 |