How much rates vary
Facilitymedian $50 · 10th to 90th $50 to $50Professionalmedian $182 · 10th to 90th $48 to $316
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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $446.68 | Professional | None | $40.74 | $47.86 | $446.68 |
BCBS New Mexico Setting Professional Modifier None Typical Low $109.65 Median $229.09 Typical High $239.88 | Professional | None | $109.65 | $229.09 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $398.11 | Professional | None | $275.42 | $275.42 | $398.11 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $147.91 | Professional | None | $91.20 | $91.20 | $147.91 |
Providence Setting Professional Modifier None Typical Low $275.42 Median $316.23 Typical High $467.74 | Professional | None | $275.42 | $316.23 | $467.74 |
United Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $79.43 | Professional | None | $38.02 | $54.95 | $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 QX · CRNA, directed Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | QX · CRNA, directed | $66.07 | $66.07 | $66.07 |