How much rates vary
Facilitymedian $302 · 10th to 90th $30 to $617Professionalmedian $11 · 10th to 90th $11 to $102
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 $302.00 Typical High $616.60 | Facility | None | $30.20 | $302.00 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $34.67 Typical High $478.63 | Professional | None | $30.20 | $34.67 | $478.63 |
BCBS North Carolina Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
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 $36.31 Typical High $89.13 | Professional | None | $6.61 | $36.31 | $89.13 |
United Setting Professional Modifier None Typical Low $39.81 Median $63.10 Typical High $100.00 | Professional | None | $39.81 | $63.10 | $100.00 |
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 QK · Directing 2–4 cases Typical Low $69.18 Median $245.47 Typical High $316.23 | Professional | QK · Directing 2–4 cases | $69.18 | $245.47 | $316.23 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $114.82 Median $309.03 Typical High $389.05 | Professional | QX · CRNA, directed | $114.82 | $309.03 | $389.05 |