How much rates vary
Facilitymedian $19,055 · 10th to 90th $9,772 to $23,988Professionalmedian $229 · 10th to 90th $195 to $1,318
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 |
|---|---|---|---|---|---|
Horizon BCBS Setting Facility Modifier None Typical Low $9,772.37 Median $19,054.61 Typical High $23,988.33 | Facility | None | $9,772.37 | $19,054.61 | $23,988.33 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $1,318.26 | Professional | None (both parts) | $194.98 | $229.09 | $1,318.26 |
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 |
|---|---|---|---|---|---|
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $426.58 Typical High $691.83 | Professional | 26 · Professional part | $257.04 | $426.58 | $691.83 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,122.02 Typical High $1,621.81 | Professional | TC · Technical part | $741.31 | $1,122.02 | $1,621.81 |