How much rates vary
Facilitymedian $45 · 10th to 90th $40 to $1,549Professionalmedian $54 · 10th to 90th $38 to $832
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 $39.81 Median $44.67 Typical High $1,548.82 | Facility | None | $39.81 | $44.67 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $44.67 Typical High $912.01 | Professional | None | $39.81 | $44.67 | $912.01 |
AvMed Setting Professional Modifier None Typical Low $21.38 Median $22.91 Typical High $25.12 | Professional | None | $21.38 | $22.91 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
Florida Blue Setting Professional Modifier None Typical Low $19.05 Median $38.02 Typical High $44.67 | Professional | None | $19.05 | $38.02 | $44.67 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $1,096.48 Typical High $1,621.81 | Professional | None | $128.82 | $1,096.48 | $1,621.81 |
United Setting Professional Modifier None Typical Low $44.67 Median $57.54 Typical High $85.11 | Professional | None | $44.67 | $57.54 | $85.11 |
Wellpoint Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
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 $2,691.53 Median $2,691.53 Typical High $2,691.53 | Professional | QK · Directing 2–4 cases | $2,691.53 | $2,691.53 | $2,691.53 |