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 Facility Modifier None Typical Low $30.20 Median $33.88 Typical High $660.69 | Facility | None | $30.20 | $33.88 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $33.88 Typical High $954.99 | Professional | None | $30.20 | $33.88 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $478.63 Median $724.44 Typical High $1,148.15 | Professional | None | $478.63 | $724.44 | $1,148.15 |
Emblem Health Setting Professional Modifier None Typical Low $128.82 Median $645.65 Typical High $1,174.90 | Professional | None | $128.82 | $645.65 | $1,174.90 |
United Setting Professional Modifier None Typical Low $52.48 Median $79.43 Typical High $141.25 | Professional | None | $52.48 | $79.43 | $141.25 |
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 $208.93 Median $208.93 Typical High $208.93 | Professional | AA · Anesthesiologist | $208.93 | $208.93 | $208.93 |