How much rates vary
Facilitymedian $490 · 10th to 90th $417 to $631Professionalmedian $155 · 10th to 90th $40 to $603
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 $416.87 Median $489.78 Typical High $630.96 | Facility | None | $416.87 | $489.78 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $41.69 Typical High $630.96 | Professional | None | $32.36 | $41.69 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $446.68 Median $457.09 Typical High $660.69 | Professional | None | $446.68 | $457.09 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $436.52 Typical High $645.65 | Professional | None | $269.15 | $436.52 | $645.65 |
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 $436.52 Median $436.52 Typical High $436.52 | Professional | QK · Directing 2–4 cases | $436.52 | $436.52 | $436.52 |