How much rates vary
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 $46.77 Median $229.09 Typical High $245.47 | Facility | None | $46.77 | $229.09 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $263.03 | Professional | None | $39.81 | $46.77 | $263.03 |
BCBS Kansas Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $229.09 Typical High $229.09 | Professional | None | $151.36 | $229.09 | $229.09 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $58.88 Typical High $891.25 | Professional | None | $54.95 | $58.88 | $891.25 |
United Setting Professional Modifier None Typical Low $50.12 Median $57.54 Typical High $69.18 | Professional | None | $50.12 | $57.54 | $69.18 |
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 $234.42 Median $234.42 Typical High $234.42 | Professional | AA · Anesthesiologist | $234.42 | $234.42 | $234.42 |