How much rates vary
Facilitymedian $417 · 10th to 90th $363 to $537Professionalmedian $155 · 10th to 90th $40 to $513
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 $363.08 Median $416.87 Typical High $537.03 | Facility | None | $363.08 | $416.87 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $41.69 Typical High $537.03 | Professional | None | $32.36 | $41.69 | $537.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $398.11 Typical High $562.34 | Professional | None | $380.19 | $398.11 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $363.08 Typical High $537.03 | Professional | None | $223.87 | $363.08 | $537.03 |
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 $602.56 Median $602.56 Typical High $602.56 | Professional | QK · Directing 2–4 cases | $602.56 | $602.56 | $602.56 |