How much rates vary
Facilitymedian $708 · 10th to 90th $91 to $933Professionalmedian $398 · 10th to 90th $48 to $631
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 $91.20 Median $707.95 Typical High $933.25 | Facility | None | $91.20 | $707.95 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $758.58 | Professional | None | $47.86 | $47.86 | $758.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $630.96 | Professional | None | $457.09 | $457.09 | $630.96 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $107.15 Typical High $323.59 | Professional | None | $95.50 | $107.15 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $446.68 Typical High $741.31 | Professional | None | $295.12 | $446.68 | $741.31 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $676.08 | Professional | None | $295.12 | $436.52 | $676.08 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $141.25 | Professional | None | $52.48 | $74.13 | $141.25 |
SummaCare Setting Professional Modifier None Typical Low $151.36 Median $354.81 Typical High $524.81 | Professional | None | $151.36 | $354.81 | $524.81 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $79.43 | Professional | None | $39.81 | $52.48 | $79.43 |
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 $691.83 Median $691.83 Typical High $691.83 | Professional | QK · Directing 2–4 cases | $691.83 | $691.83 | $691.83 |
Aultcare Setting Professional Modifier QK · Directing 2–4 cases + QX · CRNA, directed Typical Low $389.05 Median $389.05 Typical High $426.58 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $389.05 | $389.05 | $426.58 |