How much rates vary
Facilitymedian $282 · 10th to 90th $240 to $363Professionalmedian $135 · 10th to 90th $40 to $347
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 $239.88 Median $281.84 Typical High $363.08 | Facility | None | $239.88 | $281.84 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $42.66 Typical High $363.08 | Professional | None | $32.36 | $42.66 | $363.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $263.03 Typical High $380.19 | Professional | None | $257.04 | $263.03 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $213.80 Typical High $416.87 | Professional | None | $134.90 | $213.80 | $416.87 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $100.00 | Professional | None | $50.12 | $60.26 | $100.00 |
United Setting Professional Modifier None Typical Low $50.12 Median $64.57 Typical High $100.00 | Professional | None | $50.12 | $64.57 | $100.00 |
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 $831.76 Median $831.76 Typical High $831.76 | Professional | QZ · CRNA, independent | $831.76 | $831.76 | $831.76 |