How much rates vary
Facilitymedian $282 · 10th to 90th $40 to $302Professionalmedian $158 · 10th to 90th $40 to $1,905
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 $281.84 Typical High $302.00 | Facility | None | $39.81 | $281.84 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $309.03 | Professional | None | $39.81 | $47.86 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $269.15 | Professional | None | $141.25 | $165.96 | $269.15 |
Lucent Health Setting Professional Modifier None Typical Low $954.99 Median $1,905.46 Typical High $1,905.46 | Professional | None | $954.99 | $1,905.46 | $1,905.46 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $77.62 | Professional | None | $39.81 | $50.12 | $77.62 |
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 $48.98 Median $58.88 Typical High $79.43 | Professional | QK · Directing 2–4 cases | $48.98 | $58.88 | $79.43 |