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 Professional Modifier TC · Technical part Typical Low $51.29 Median $52.48 Typical High $107.15 | Professional | TC · Technical part | $51.29 | $52.48 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $87.10 Typical High $213.80 | Professional | TC · Technical part | $77.62 | $87.10 | $213.80 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $52.48 Typical High $107.15 | Professional | TC · Technical part | $51.29 | $52.48 | $107.15 |
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 |
|---|---|---|---|---|---|
Cigna Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |