How much rates vary
Facilitymedian $282 · 10th to 90th $182 to $447Professionalmedian $47 · 10th to 90th $19 to $427
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 $181.97 Median $281.84 Typical High $446.68 | Facility | None | $181.97 | $281.84 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $269.15 Typical High $446.68 | Professional | None | $47.86 | $269.15 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $354.81 | Professional | None | $302.00 | $323.59 | $354.81 |
Hally Health Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $407.38 | Professional | None | $213.80 | $251.19 | $407.38 |
Medica Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Oscar Health Setting Professional Modifier None Typical Low $7.08 Median $23.44 Typical High $47.86 | Professional | None | $7.08 | $23.44 | $47.86 |
United Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Wellmark Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $426.58 | Professional | None | $338.84 | $338.84 | $426.58 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $11.48 Typical High $11.48 | Professional | 53 · Discontinued | $8.32 | $11.48 | $11.48 |
Wellmark Setting Professional Modifier QX · CRNA, directed Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | QX · CRNA, directed | $213.80 | $213.80 | $213.80 |