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 $50.12 Median $281.84 Typical High $302.00 | Facility | None | $50.12 | $281.84 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $281.84 | Professional | None | $40.74 | $50.12 | $281.84 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $213.80 Median $954.99 Typical High $1,905.46 | Professional | None | $213.80 | $954.99 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $165.96 Typical High $263.03 | Professional | None | $151.36 | $165.96 | $263.03 |
Molina Setting Professional Modifier None Typical Low $34.67 Median $63.10 Typical High $75.86 | Professional | None | $34.67 | $63.10 | $75.86 |
Pacific Source Setting Facility Modifier None Typical Low $186.21 Median $208.93 Typical High $275.42 | Facility | None | $186.21 | $208.93 | $275.42 |
Premera BCBS Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $229.09 | Professional | None | $162.18 | $162.18 | $229.09 |
Regence BlueShield Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $309.03 | Professional | None | $213.80 | $213.80 | $309.03 |
United Setting Professional Modifier None Typical Low $45.71 Median $56.23 Typical High $83.18 | Professional | None | $45.71 | $56.23 | $83.18 |
Wellpoint Setting Professional Modifier None Typical Low $3.02 Median $61.66 Typical High $61.66 | Professional | None | $3.02 | $61.66 | $61.66 |
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 $263.03 Median $407.38 Typical High $645.65 | Professional | AA · Anesthesiologist | $263.03 | $407.38 | $645.65 |