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 $39.81 Median $281.84 Typical High $302.00 | Facility | None | $39.81 | $281.84 | $302.00 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $309.03 | Professional | None | $39.81 | $47.86 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $199.53 Typical High $467.74 | Professional | None | $128.82 | $199.53 | $467.74 |
Lucent Health Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,905.46 | Professional | None | $954.99 | $954.99 | $1,905.46 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $77.62 | Professional | None | $39.81 | $50.12 | $77.62 |
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 $117.49 Median $117.49 Typical High $177.83 | Professional | QZ · CRNA, independent | $117.49 | $117.49 | $177.83 |