How much rates vary
Facilitymedian $11,749 · 10th to 90th $79 to $17,783Professionalmedian $87 · 10th to 90th $74 to $138
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 $79.43 Median $11,748.98 Typical High $17,782.79 | Facility | None | $79.43 | $11,748.98 | $17,782.79 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $87.10 Typical High $138.04 | Professional | None (both parts) | $74.13 | $87.10 | $138.04 |
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 |