How much rates vary
Facilitymedian $59 · 10th to 90th $59 to $59Professionalmedian $219 · 10th to 90th $42 to $1,202
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 $50.12 Typical High $263.03 | Facility | None | $41.69 | $50.12 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $363.08 | Professional | None | $41.69 | $50.12 | $363.08 |
BCBS Texas Setting Professional Modifier None Typical Low $190.55 Median $223.87 Typical High $457.09 | Professional | None | $190.55 | $223.87 | $457.09 |
Baylor Scott & White Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $398.11 | Professional | None | $223.87 | $302.00 | $398.11 |
Christus Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $331.13 | Professional | None | $190.55 | $208.93 | $331.13 |
Health Smart Setting Professional Modifier None Typical Low $223.87 Median $275.42 Typical High $338.84 | Professional | None | $223.87 | $275.42 | $338.84 |
Lucent Health Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $2,398.83 | Professional | None | $1,202.26 | $1,202.26 | $2,398.83 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $208.93 Typical High $263.03 | Facility | None | $41.69 | $208.93 | $263.03 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $363.08 | Professional | None | $41.69 | $50.12 | $363.08 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $91.20 Typical High $436.52 | Professional | None | $67.61 | $91.20 | $436.52 |
Oscar Health Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Oscar Health Setting Professional Modifier None Typical Low $7.08 Median $25.12 Typical High $54.95 | Professional | None | $7.08 | $25.12 | $54.95 |
Providence Setting Professional Modifier None Typical Low $190.55 Median $208.93 Typical High $323.59 | Professional | None | $190.55 | $208.93 | $323.59 |
United Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $75.86 | Professional | None | $47.86 | $54.95 | $75.86 |
Wellpoint Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Professional | None | $3.98 | $3.98 | $3.98 |
7 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier AA · Anesthesiologist Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | AA · Anesthesiologist | $389.05 | $389.05 | $389.05 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $63.10 Median $63.10 Typical High $229.09 | Professional | QK · Directing 2–4 cases | $63.10 | $63.10 | $229.09 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $162.18 Median $194.98 Typical High $194.98 | Professional | QX · CRNA, directed | $162.18 | $194.98 | $194.98 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $323.59 Median $389.05 Typical High $588.84 | Professional | QZ · CRNA, independent | $323.59 | $389.05 | $588.84 |
Moda Health Setting Professional Modifier AA · Anesthesiologist Typical Low $288.40 Median $309.03 Typical High $398.11 | Professional | AA · Anesthesiologist | $288.40 | $309.03 | $398.11 |
Moda Health Setting Professional Modifier P1 · Healthy patient Typical Low $204.17 Median $295.12 Typical High $501.19 | Professional | P1 · Healthy patient | $204.17 | $295.12 | $501.19 |
Moda Health Setting Professional Modifier P2 · Mild systemic disease Typical Low $67.61 Median $186.21 Typical High $346.74 | Professional | P2 · Mild systemic disease | $67.61 | $186.21 | $346.74 |