How much rates vary
Facilitymedian $58 · 10th to 90th $40 to $617Professionalmedian $52 · 10th to 90th $40 to $479
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 $39.81 Median $57.54 Typical High $616.60 | Facility | None | $39.81 | $57.54 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $537.03 | Professional | None | $39.81 | $57.54 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $537.03 | Professional | None | $398.11 | $398.11 | $537.03 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $57.54 | Professional | None | $39.81 | $50.12 | $57.54 |
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 AD · Supervising 5+ Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | AD · Supervising 5+ | $416.87 | $416.87 | $416.87 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $208.93 Median $208.93 Typical High $229.09 | Professional | QK · Directing 2–4 cases | $208.93 | $208.93 | $229.09 |