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 $30.20 Median $147.91 Typical High $588.84 | Facility | None | $30.20 | $147.91 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $380.19 | Professional | None | $30.20 | $30.20 | $380.19 |
BCBS Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $309.03 | Professional | None | $186.21 | $281.84 | $309.03 |
BCBS Setting Professional Modifier WV Typical Low $147.91 Median $186.21 Typical High $229.09 | Professional | WV | $147.91 | $186.21 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $199.53 Typical High $363.08 | Professional | None | $134.90 | $199.53 | $363.08 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $186.21 Typical High $213.80 | Professional | None | $104.71 | $186.21 | $213.80 |
United Setting Professional Modifier None Typical Low $41.69 Median $61.66 Typical High $81.28 | Professional | None | $41.69 | $61.66 | $81.28 |
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 $162.18 Median $218.78 Typical High $245.47 | Professional | AA · Anesthesiologist | $162.18 | $218.78 | $245.47 |