How much rates vary
Facilitymedian $309 · 10th to 90th $30 to $617Professionalmedian $182 · 10th to 90th $30 to $468
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 $30.20 Median $309.03 Typical High $616.60 | Facility | None | $30.20 | $309.03 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $38.02 Typical High $489.78 | Professional | None | $30.20 | $38.02 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $8.32 | Professional | 53 · Discontinued | $6.03 | $6.03 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $199.53 Typical High $457.09 | Professional | None | $181.97 | $199.53 | $457.09 |
Oscar Health Setting Professional Modifier None Typical Low $6.61 Median $37.15 Typical High $89.13 | Professional | None | $6.61 | $37.15 | $89.13 |
United Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
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 $123.03 Median $123.03 Typical High $144.54 | Professional | QZ · CRNA, independent | $123.03 | $123.03 | $144.54 |