How much rates vary
Facilitymedian $437 · 10th to 90th $30 to $851Professionalmedian $71 · 10th to 90th $30 to $550
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $30.20 Median $436.52 Typical High $851.14 | Facility | None | $30.20 | $436.52 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $707.95 | Professional | None | $30.20 | $37.15 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $302.00 Typical High $676.08 | Professional | None | $269.15 | $302.00 | $676.08 |
Oscar Health Setting Professional Modifier None Typical Low $9.77 Median $37.15 Typical High $89.13 | Professional | None | $9.77 | $37.15 | $89.13 |
United Setting Professional Modifier None Typical Low $39.81 Median $63.10 Typical High $100.00 | Professional | None | $39.81 | $63.10 | $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 $234.42 Median $234.42 Typical High $234.42 | Professional | QK · Directing 2–4 cases | $234.42 | $234.42 | $234.42 |