How much rates vary
Facilitymedian $240 · 10th to 90th $32 to $363Professionalmedian $135 · 10th to 90th $40 to $339
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 $32.36 Median $239.88 Typical High $363.08 | Facility | None | $32.36 | $239.88 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $42.66 Typical High $363.08 | Professional | None | $32.36 | $42.66 | $363.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $263.03 Typical High $380.19 | Professional | None | $257.04 | $263.03 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $213.80 Typical High $323.59 | Professional | None | $134.90 | $213.80 | $323.59 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $100.00 | Professional | None | $50.12 | $60.26 | $100.00 |
United Setting Professional Modifier None Typical Low $50.12 Median $64.57 Typical High $100.00 | Professional | None | $50.12 | $64.57 | $100.00 |
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 $70.79 Median $1,445.44 Typical High $1,445.44 | Professional | QK · Directing 2–4 cases | $70.79 | $1,445.44 | $1,445.44 |