How much rates vary
Facilitymedian $6,310 · 10th to 90th $170 to $14,454Professionalmedian $186 · 10th to 90th $158 to $550
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 $169.82 Median $6,309.57 Typical High $14,454.40 | Facility | None | $169.82 | $6,309.57 | $14,454.40 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $912.01 Median $17,378.01 Typical High $27,542.29 | Facility | TC · Technical part | $912.01 | $17,378.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $549.54 | Professional | None (both parts) | $158.49 | $186.21 | $549.54 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $575.44 Typical High $1,174.90 | Professional | TC · Technical part | $162.18 | $575.44 | $1,174.90 |
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 Professional Modifier 26 · Professional part Typical Low $199.53 Median $323.59 Typical High $549.54 | Professional | 26 · Professional part | $199.53 | $323.59 | $549.54 |