How much rates vary
Facilitymedian $269 · 10th to 90th $42 to $398Professionalmedian $72 · 10th to 90th $41 to $1,349
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 $41.69 Median $309.03 Typical High $457.09 | Facility | None | $41.69 | $309.03 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $46.77 Typical High $457.09 | Professional | None | $41.69 | $46.77 | $457.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $251.19 Median $302.00 Typical High $489.78 | Professional | None | $251.19 | $302.00 | $489.78 |
BCBS Kansas City Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $58.88 | Professional | None | $51.29 | $54.95 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $302.00 Typical High $416.87 | Professional | None | $229.09 | $302.00 | $416.87 |
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 $39.81 Median $69.18 Typical High $1,348.96 | Professional | None | $39.81 | $69.18 | $1,348.96 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $75.86 | Professional | None | $39.81 | $50.12 | $75.86 |
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 $107.15 Median $107.15 Typical High $107.15 | Professional | QK · Directing 2–4 cases | $107.15 | $107.15 | $107.15 |
Qualchoice Setting Professional Modifier QZ · CRNA, independent Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | QZ · CRNA, independent | $1,230.27 | $1,230.27 | $1,230.27 |