How much rates vary
Facilitymedian $30 · 10th to 90th $30 to $34Professionalmedian $145 · 10th to 90th $34 to $407
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 $30.20 Median $30.20 Typical High $33.88 | Facility | None | $30.20 | $30.20 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $33.88 Typical High $416.87 | Professional | None | $30.20 | $33.88 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $269.15 Typical High $426.58 | Professional | None | $181.97 | $269.15 | $426.58 |
Emblem Health Setting Professional Modifier None Typical Low $64.57 Median $323.59 Typical High $588.84 | Professional | None | $64.57 | $323.59 | $588.84 |
Horizon BCBS Setting Professional Modifier None Typical Low $199.53 Median $213.80 Typical High $436.52 | Professional | None | $199.53 | $213.80 | $436.52 |
United Setting Professional Modifier None Typical Low $52.48 Median $79.43 Typical High $141.25 | Professional | None | $52.48 | $79.43 | $141.25 |
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 $63.10 Median $63.10 Typical High $63.10 | Professional | QK · Directing 2–4 cases | $63.10 | $63.10 | $63.10 |