How much rates vary
Facilitymedian $123 · 10th to 90th $123 to $123Professionalmedian $162 · 10th to 90th $42 to $955
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $41.69 Median $50.12 Typical High $213.80 | Facility | None | $41.69 | $50.12 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $288.40 | Professional | None | $41.69 | $50.12 | $288.40 |
BCBS Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $346.74 | Professional | None | $125.89 | $169.82 | $346.74 |
Baylor Scott & White Setting Professional Modifier None Typical Low $131.83 Median $158.49 Typical High $223.87 | Professional | None | $131.83 | $158.49 | $223.87 |
Christus Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $251.19 | Professional | None | $144.54 | $154.88 | $251.19 |
Health Smart Setting Professional Modifier None Typical Low $141.25 Median $173.78 Typical High $208.93 | Professional | None | $141.25 | $173.78 | $208.93 |
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 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $169.82 Typical High $213.80 | Facility | None | $41.69 | $169.82 | $213.80 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $302.00 | Professional | None | $41.69 | $50.12 | $302.00 |
Molina Setting Professional Modifier None Typical Low $36.31 Median $46.77 Typical High $309.03 | Professional | None | $36.31 | $46.77 | $309.03 |
Oscar Health Setting Professional Modifier None Typical Low $3.55 Median $24.55 Typical High $47.86 | Professional | None | $3.55 | $24.55 | $47.86 |
Providence Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $251.19 | Professional | None | $144.54 | $154.88 | $251.19 |
United Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $75.86 | Professional | None | $47.86 | $54.95 | $75.86 |
Wellpoint Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
2 more rates 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 $120.23 Median $162.18 Typical High $162.18 | Professional | AA · Anesthesiologist | $120.23 | $162.18 | $162.18 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | QZ · CRNA, independent | $141.25 | $141.25 | $141.25 |