How much rates vary
Facilitymedian $447 · 10th to 90th $42 to $759Professionalmedian $151 · 10th to 90th $42 to $501
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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $41.69 Median $478.63 Typical High $758.58 | Facility | None | $41.69 | $478.63 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $575.44 | Professional | None | $39.81 | $41.69 | $575.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $257.04 Median $398.11 Typical High $630.96 | Professional | None | $257.04 | $398.11 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $562.34 | Professional | None | $257.04 | $309.03 | $562.34 |
Emblem Health Setting Professional Modifier None Typical Low $36.31 Median $91.20 Typical High $724.44 | Professional | None | $36.31 | $91.20 | $724.44 |
Excellus BCBS Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $281.84 | Professional | None | $67.61 | $79.43 | $281.84 |
MVP Health Care Setting Professional Modifier None Typical Low $154.88 Median $512.86 Typical High $616.60 | Professional | None | $154.88 | $512.86 | $616.60 |
United Setting Professional Modifier None Typical Low $52.48 Median $70.79 Typical High $120.23 | Professional | None | $52.48 | $70.79 | $120.23 |
Univera Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $177.83 | Facility | None | $81.28 | $81.28 | $177.83 |
Univera Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $281.84 | Professional | None | $67.61 | $79.43 | $281.84 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases + QX · CRNA, directed Typical Low $263.03 Median $489.78 Typical High $575.44 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $263.03 | $489.78 | $575.44 |