How much rates vary
Facilitymedian $48 · 10th to 90th $35 to $214Professionalmedian $100 · 10th to 90th $48 to $282
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $47.86 Median $47.86 Typical High $218.78 | Facility | None | $47.86 | $47.86 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $47.86 Typical High $281.84 | Professional | None | $41.69 | $47.86 | $281.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $100.00 Typical High $186.21 | Professional | None | $87.10 | $100.00 | $186.21 |
CareSource Setting Facility Modifier None Typical Low $28.18 Median $46.77 Typical High $141.25 | Facility | None | $28.18 | $46.77 | $141.25 |
CareSource Setting Professional Modifier None Typical Low $28.84 Median $44.67 Typical High $120.23 | Professional | None | $28.84 | $44.67 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $302.00 Typical High $524.81 | Professional | None | $123.03 | $302.00 | $524.81 |
Molina Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $151.36 | Professional | None | $107.15 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $70.79 | Professional | None | $43.65 | $53.70 | $70.79 |
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 $120.23 Median $141.25 Typical High $162.18 | Professional | AA · Anesthesiologist | $120.23 | $141.25 | $162.18 |