How much rates vary
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 $416.87 | Professional | None | $34.67 | $34.67 | $416.87 |
BCBS Arizona Setting Professional Modifier None Typical Low $199.53 Median $229.09 Typical High $338.84 | Professional | None | $199.53 | $229.09 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $346.74 Typical High $457.09 | Professional | None | $257.04 | $346.74 | $457.09 |
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 $1,348.96 | Professional | None | $34.67 | $60.26 | $1,348.96 |
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 AA · Anesthesiologist Typical Low $954.99 Median $954.99 Typical High $2,454.71 | Professional | AA · Anesthesiologist | $954.99 | $954.99 | $2,454.71 |