How much rates vary
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 $44.67 Median $239.88 Typical High $323.59 | Facility | None | $44.67 | $239.88 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $44.67 Typical High $275.42 | Professional | None | $41.69 | $44.67 | $275.42 |
BCBS Setting Professional Modifier None Typical Low $181.97 Median $204.17 Typical High $239.88 | Professional | None | $181.97 | $204.17 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $169.82 Typical High $245.47 | Professional | None | $120.23 | $169.82 | $245.47 |
Hally Health Setting Professional Modifier None Typical Low $89.13 Median $162.18 Typical High $257.04 | Professional | None | $89.13 | $162.18 | $257.04 |
Hally Health Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Hally Health Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | None | $114.82 | $114.82 | $134.90 |
United Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $77.62 | Professional | None | $42.66 | $54.95 | $77.62 |
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 AA · Anesthesiologist Typical Low $213.80 Median $323.59 Typical High $323.59 | Professional | AA · Anesthesiologist | $213.80 | $323.59 | $323.59 |