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 $173.78 Median $316.23 Typical High $323.59 | Facility | None | $173.78 | $316.23 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $302.00 Typical High $371.54 | Professional | None | $43.65 | $302.00 | $371.54 |
BCBS Setting Facility Modifier None Typical Low $44.67 Median $60.26 Typical High $123.03 | Facility | None | $44.67 | $60.26 | $123.03 |
BCBS Setting Professional Modifier None Typical Low $371.54 Median $380.19 Typical High $457.09 | Professional | None | $371.54 | $380.19 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $436.52 | Professional | None | $229.09 | $229.09 | $436.52 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $891.25 | Professional | None | $54.95 | $66.07 | $891.25 |
Midlands Setting Professional Modifier None Typical Low $302.00 Median $309.03 Typical High $407.38 | Professional | None | $302.00 | $309.03 | $407.38 |
Midlands Setting Professional Modifier None Typical Low $323.59 Median $354.81 Typical High $407.38 | Professional | None | $323.59 | $354.81 | $407.38 |
Oscar Health Setting Professional Modifier None Typical Low $2.00 Median $2.34 Typical High $22.91 | Professional | None | $2.00 | $2.34 | $22.91 |
United Setting Professional Modifier None Typical Low $56.23 Median $64.57 Typical High $83.18 | Professional | None | $56.23 | $64.57 | $83.18 |
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 $199.53 Median $229.09 Typical High $229.09 | Professional | QZ · CRNA, independent | $199.53 | $229.09 | $229.09 |