How much rates vary
Facilitymedian $81 · 10th to 90th $81 to $105Professionalmedian $50 · 10th to 90th $35 to $891
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 Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $275.42 | Professional | None | $34.67 | $34.67 | $275.42 |
BCBS Arizona Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $199.53 | Professional | None | $120.23 | $138.04 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $275.42 | Professional | None | $151.36 | $208.93 | $275.42 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $104.71 | Facility | None | $81.28 | $81.28 | $104.71 |
Medica Setting Professional Modifier None Typical Low $34.67 Median $60.26 Typical High $891.25 | Professional | None | $34.67 | $60.26 | $891.25 |
United Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $74.13 | Professional | None | $33.11 | $42.66 | $74.13 |
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 $257.04 Median $257.04 Typical High $549.54 | Professional | QK · Directing 2–4 cases | $257.04 | $257.04 | $549.54 |