How much rates vary
Facilitymedian $468 · 10th to 90th $447 to $646Professionalmedian $72 · 10th to 90th $50 to $1,380
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 $63.10 Median $467.74 Typical High $645.65 | Facility | None | $63.10 | $467.74 | $645.65 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $630.96 | Professional | None | $52.48 | $52.48 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $1,230.27 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,230.27 | $1,380.38 | $1,380.38 |
Health Alliance Plan Setting Facility Modifier None Typical Low $446.68 Median $467.74 Typical High $645.65 | Facility | None | $446.68 | $467.74 | $645.65 |
Health Alliance Plan Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $630.96 | Professional | None | $52.48 | $52.48 | $630.96 |
Priority Health Setting Professional Modifier None Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None | $1,380.38 | $1,380.38 | $1,380.38 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | None | $41.69 | $53.70 | $77.62 |
2 more rates 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 $194.98 Median $194.98 Typical High $194.98 | Professional | QK · Directing 2–4 cases | $194.98 | $194.98 | $194.98 |
BCBS Michigan Setting Professional Modifier QK · Directing 2–4 cases + QY · Directing one CRNA Typical Low $147.91 Median $194.98 Typical High $436.52 | Professional | QK · Directing 2–4 cases + QY · Directing one CRNA | $147.91 | $194.98 | $436.52 |