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 Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $346.74 | Professional | None | $34.67 | $34.67 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $8.32 | Professional | 53 · Discontinued | $7.08 | $7.08 | $8.32 |
BCBS Setting Professional Modifier None Typical Low $158.49 Median $181.97 Typical High $269.15 | Professional | None | $158.49 | $181.97 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $281.84 Typical High $354.81 | Professional | None | $204.17 | $281.84 | $354.81 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
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 $100.00 Median $100.00 Typical High $100.00 | Professional | QZ · CRNA, independent | $100.00 | $100.00 | $100.00 |