How much rates vary
Facilitymedian $14,791 · 10th to 90th $14,791 to $20,893Professionalmedian $27 · 10th to 90th $25 to $36
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 |
|---|---|---|---|---|---|
Horizon BCBS Setting Facility Modifier None Typical Low $14,791.08 Median $14,791.08 Typical High $20,892.96 | Facility | None | $14,791.08 | $14,791.08 | $20,892.96 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $24.55 Median $26.92 Typical High $36.31 | Professional | None (both parts) | $24.55 | $26.92 | $36.31 |
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 |
|---|---|---|---|---|---|
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $12,882.50 Median $19,952.62 Typical High $28,840.32 | Facility | TC · Technical part | $12,882.50 | $19,952.62 | $28,840.32 |