How much rates vary
Facilitymedian $316 · 10th to 90th $302 to $437Professionalmedian $71 · 10th to 90th $47 to $1,202
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 $63.10 Median $309.03 Typical High $436.52 | Facility | None | $63.10 | $309.03 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $52.48 Typical High $407.38 | Professional | None | $47.86 | $52.48 | $407.38 |
CareSource Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $1,202.26 Typical High $1,202.26 | Professional | None | $954.99 | $1,202.26 | $1,202.26 |
Health Alliance Plan Setting Facility Modifier None Typical Low $302.00 Median $316.23 Typical High $436.52 | Facility | None | $302.00 | $316.23 | $436.52 |
Health Alliance Plan Setting Professional Modifier None Typical Low $50.12 Median $52.48 Typical High $416.87 | Professional | None | $50.12 | $52.48 | $416.87 |
Priority Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | None | $41.69 | $53.70 | $77.62 |
3 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 $190.55 Median $190.55 Typical High $190.55 | Professional | QK · Directing 2–4 cases | $190.55 | $190.55 | $190.55 |
BCBS Michigan Setting Professional Modifier QZ · CRNA, independent Typical Low $162.18 Median $218.78 Typical High $478.63 | Professional | QZ · CRNA, independent | $162.18 | $218.78 | $478.63 |
Health Alliance Plan Setting Professional Modifier P3 · Severe systemic disease Typical Low $64.57 Median $74.13 Typical High $144.54 | Professional | P3 · Severe systemic disease | $64.57 | $74.13 | $144.54 |