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 $39.81 Median $44.67 Typical High $707.95 | Facility | None | $39.81 | $44.67 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $398.11 | Professional | None | $38.02 | $44.67 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $8.71 Typical High $9.55 | Professional | 53 · Discontinued | $6.76 | $8.71 | $9.55 |
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 $158.49 Median $239.88 Typical High $512.86 | Professional | None | $158.49 | $239.88 | $512.86 |
Florida Blue Setting Professional Modifier None Typical Low $19.05 Median $38.02 Typical High $44.67 | Professional | None | $19.05 | $38.02 | $44.67 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $630.96 Typical High $645.65 | Professional | None | $51.29 | $630.96 | $645.65 |
United Setting Professional Modifier None Typical Low $52.48 Median $83.18 Typical High $100.00 | Professional | None | $52.48 | $83.18 | $100.00 |
Wellpoint Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
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 AA · Anesthesiologist Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | AA · Anesthesiologist | $104.71 | $104.71 | $104.71 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $147.91 Median $147.91 Typical High $1,174.90 | Professional | QZ · CRNA, independent | $147.91 | $147.91 | $1,174.90 |