How much rates vary
Facilitymedian $417 · 10th to 90th $40 to $417Professionalmedian $302 · 10th to 90th $48 to $1,585
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 $39.81 Median $416.87 Typical High $416.87 | Facility | None | $39.81 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $398.11 | Professional | None | $39.81 | $39.81 | $398.11 |
BCBS Setting Professional Modifier None Typical Low $275.42 Median $363.08 Typical High $426.58 | Professional | None | $275.42 | $363.08 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $302.00 Typical High $363.08 | Professional | None | $229.09 | $302.00 | $363.08 |
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 $47.86 Median $64.57 Typical High $1,584.89 | Professional | None | $47.86 | $64.57 | $1,584.89 |
United Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $61.66 | Professional | None | $46.77 | $51.29 | $61.66 |
2 more rates 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 $138.04 Median $138.04 Typical High $138.04 | Professional | QK · Directing 2–4 cases | $138.04 | $138.04 | $138.04 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | QX · CRNA, directed | $138.04 | $138.04 | $138.04 |