How much rates vary
Facilitymedian $38 · 10th to 90th $21 to $4,266Professionalmedian $363 · 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 $21.38 Median $38.02 Typical High $794.33 | Facility | None | $21.38 | $38.02 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $38.02 Typical High $758.58 | Professional | None | $21.38 | $38.02 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $416.87 Typical High $812.83 | Professional | None | $363.08 | $416.87 | $812.83 |
Hometown Health Setting Professional Modifier None Typical Low $537.03 Median $707.95 Typical High $1,122.02 | Professional | None | $537.03 | $707.95 | $1,122.02 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $436.52 Median $831.76 Typical High $912.01 | Professional | None | $436.52 | $831.76 | $912.01 |
United Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $79.43 | Professional | None | $34.67 | $47.86 | $79.43 |
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 AA · Anesthesiologist Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | AA · Anesthesiologist | $831.76 | $831.76 | $831.76 |