How much rates vary
Facilitymedian $34 · 10th to 90th $30 to $295Professionalmedian $79 · 10th to 90th $30 to $389
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 $30.20 Median $33.88 Typical High $295.12 | Facility | None | $30.20 | $33.88 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $38.02 Typical High $426.58 | Professional | None | $30.20 | $38.02 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $1.12 Median $257.04 Typical High $457.09 | Professional | None | $1.12 | $257.04 | $457.09 |
Emblem Health Setting Professional Modifier None Typical Low $44.67 Median $239.88 Typical High $436.52 | Professional | None | $44.67 | $239.88 | $436.52 |
Horizon BCBS Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $3,981.07 | Professional | None | $676.08 | $676.08 | $3,981.07 |
United Setting Professional Modifier None Typical Low $52.48 Median $79.43 Typical High $141.25 | Professional | None | $52.48 | $79.43 | $141.25 |
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 $102.33 Median $102.33 Typical High $102.33 | Professional | QZ · CRNA, independent | $102.33 | $102.33 | $102.33 |