How much rates vary
Facilitymedian $158 · 10th to 90th $158 to $158Professionalmedian $224 · 10th to 90th $40 to $2,399
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 $41.69 Median $50.12 Typical High $263.03 | Facility | None | $41.69 | $50.12 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $363.08 | Professional | None | $41.69 | $50.12 | $363.08 |
BCBS Texas Setting Professional Modifier None Typical Low $173.78 Median $223.87 Typical High $398.11 | Professional | None | $173.78 | $223.87 | $398.11 |
Christus Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $331.13 | Professional | None | $190.55 | $208.93 | $331.13 |
Lucent Health Setting Professional Modifier None Typical Low $851.14 Median $2,398.83 Typical High $2,398.83 | Professional | None | $851.14 | $2,398.83 | $2,398.83 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $208.93 Typical High $263.03 | Facility | None | $41.69 | $208.93 | $263.03 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $371.54 | Professional | None | $41.69 | $50.12 | $371.54 |
Molina Setting Professional Modifier None Typical Low $245.47 Median $346.74 Typical High $501.19 | Professional | None | $245.47 | $346.74 | $501.19 |
Oscar Health Setting Professional Modifier None Typical Low $7.08 Median $25.12 Typical High $54.95 | Professional | None | $7.08 | $25.12 | $54.95 |
Providence Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $323.59 | Professional | None | $190.55 | $208.93 | $323.59 |
United Setting Professional Modifier None Typical Low $52.48 Median $60.26 Typical High $77.62 | Professional | None | $52.48 | $60.26 | $77.62 |
Wellpoint Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
4 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 $8.71 Typical High $10.00 | Professional | 53 · Discontinued | $8.32 | $8.71 | $10.00 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $141.25 Median $389.05 Typical High $389.05 | Professional | QZ · CRNA, independent | $141.25 | $389.05 | $389.05 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.71 Typical High $10.00 | Professional | 53 · Discontinued | $8.32 | $8.71 | $10.00 |
Moda Health Setting Professional Modifier QZ · CRNA, independent Typical Low $147.91 Median $173.78 Typical High $309.03 | Professional | QZ · CRNA, independent | $147.91 | $173.78 | $309.03 |