How much rates vary
Facilitymedian $398 · 10th to 90th $251 to $437Professionalmedian $71 · 10th to 90th $48 to $437
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 $251.19 Median $398.11 Typical High $436.52 | Facility | None | $251.19 | $398.11 | $436.52 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $251.19 Typical High $436.52 | Professional | None | $50.12 | $251.19 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $302.00 Typical High $660.69 | Professional | None | $190.55 | $302.00 | $660.69 |
United Setting Professional Modifier None Typical Low $44.67 Median $60.26 Typical High $95.50 | Professional | None | $44.67 | $60.26 | $95.50 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases Typical Low $380.19 Median $870.96 Typical High $1,096.48 | Professional | QK · Directing 2–4 cases | $380.19 | $870.96 | $1,096.48 |