How much rates vary
Facilitymedian $562 · 10th to 90th $479 to $724Professionalmedian $263 · 10th to 90th $43 to $708
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 $478.63 Median $562.34 Typical High $724.44 | Facility | None | $478.63 | $562.34 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $41.69 Typical High $724.44 | Professional | None | $32.36 | $41.69 | $724.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $524.81 Typical High $758.58 | Professional | None | $512.86 | $524.81 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $501.19 Typical High $758.58 | Professional | None | $316.23 | $501.19 | $758.58 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $100.00 | Professional | None | $50.12 | $60.26 | $100.00 |
United Setting Professional Modifier None Typical Low $50.12 Median $64.57 Typical High $100.00 | Professional | None | $50.12 | $64.57 | $100.00 |
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 $912.01 Median $912.01 Typical High $912.01 | Professional | QK · Directing 2–4 cases | $912.01 | $912.01 | $912.01 |