How much rates vary
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 $21.38 Median $38.02 Typical High $295.12 | Facility | None | $21.38 | $38.02 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $38.02 Typical High $269.15 | Professional | None | $21.38 | $38.02 | $269.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $295.12 | Professional | None | $131.83 | $154.88 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $537.03 | Professional | None | $151.36 | $186.21 | $537.03 |
Hometown Health Setting Professional Modifier None Typical Low $144.54 Median $194.98 Typical High $309.03 | Professional | None | $144.54 | $194.98 | $309.03 |
Select Health Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Select Health Setting Professional Modifier None Typical Low $158.49 Median $302.00 Typical High $331.13 | Professional | None | $158.49 | $302.00 | $331.13 |
United Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $79.43 | Professional | None | $34.67 | $47.86 | $79.43 |
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 $123.03 Median $123.03 Typical High $123.03 | Professional | AA · Anesthesiologist | $123.03 | $123.03 | $123.03 |