How much rates vary
Facilitymedian $55 · 10th to 90th $48 to $269Professionalmedian $186 · 10th to 90th $48 to $363
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 $275.42 | Facility | None | $47.86 | $47.86 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $346.74 | Professional | None | $43.65 | $47.86 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $8.71 | $9.55 | $9.55 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $186.21 Typical High $288.40 | Professional | None | $107.15 | $186.21 | $288.40 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $117.49 Typical High $239.88 | Facility | None | $54.95 | $117.49 | $239.88 |
CareSource Setting Professional Modifier None Typical Low $54.95 Median $100.00 Typical High $208.93 | Professional | None | $54.95 | $100.00 | $208.93 |
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 $181.97 Median $257.04 Typical High $537.03 | Professional | None | $181.97 | $257.04 | $537.03 |
Molina Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $251.19 | Professional | None | $213.80 | $251.19 | $251.19 |
United Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $44.67 | Professional | None | $30.20 | $30.20 | $44.67 |
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 QK · Directing 2–4 cases Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | QK · Directing 2–4 cases | $48.98 | $48.98 | $48.98 |