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 $47.86 Median $47.86 Typical High $602.56 | Facility | None | $47.86 | $47.86 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $776.25 | Professional | None | $44.67 | $47.86 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $234.42 Median $407.38 Typical High $645.65 | Professional | None | $234.42 | $407.38 | $645.65 |
CareSource Setting Facility Modifier None Typical Low $107.15 Median $141.25 Typical High $363.08 | Facility | None | $107.15 | $141.25 | $363.08 |
CareSource Setting Professional Modifier None Typical Low $104.71 Median $177.83 Typical High $371.54 | Professional | None | $104.71 | $177.83 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $660.69 Typical High $1,445.44 | Professional | None | $446.68 | $660.69 | $1,445.44 |
Molina Setting Professional Modifier None Typical Low $436.52 Median $446.68 Typical High $446.68 | Professional | None | $436.52 | $446.68 | $446.68 |
United Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $70.79 | Professional | None | $43.65 | $53.70 | $70.79 |
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 QZ · CRNA, independent Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | QZ · CRNA, independent | $724.44 | $724.44 | $724.44 |