How much rates vary
Facilitymedian $158 · 10th to 90th $158 to $158Professionalmedian $263 · 10th to 90th $42 to $1,445
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 $316.23 | Facility | None | $41.69 | $50.12 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $436.52 | Professional | None | $41.69 | $50.12 | $436.52 |
BCBS Texas Setting Professional Modifier None Typical Low $223.87 Median $281.84 Typical High $489.78 | Professional | None | $223.87 | $281.84 | $489.78 |
Baylor Scott & White Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $407.38 | Professional | None | $213.80 | $269.15 | $407.38 |
Christus Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $416.87 | Professional | None | $239.88 | $257.04 | $416.87 |
Health Smart Setting Professional Modifier None Typical Low $302.00 Median $346.74 Typical High $416.87 | Professional | None | $302.00 | $346.74 | $416.87 |
Lucent Health Setting Professional Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $2,884.03 | Professional | None | $1,445.44 | $1,445.44 | $2,884.03 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $251.19 Typical High $316.23 | Facility | None | $41.69 | $251.19 | $316.23 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $436.52 | Professional | None | $41.69 | $50.12 | $436.52 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $112.20 Typical High $501.19 | Professional | None | $85.11 | $112.20 | $501.19 |
Oscar Health Setting Facility Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $7,943.28 | Facility | None | $7,943.28 | $7,943.28 | $7,943.28 |
Oscar Health Setting Professional Modifier None Typical Low $8.91 Median $25.12 Typical High $54.95 | Professional | None | $8.91 | $25.12 | $54.95 |
Providence Setting Professional Modifier None Typical Low $239.88 Median $257.04 Typical High $398.11 | Professional | None | $239.88 | $257.04 | $398.11 |
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 $5.01 Median $5.01 Typical High $5.01 | Professional | None | $5.01 | $5.01 | $5.01 |
9 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 $162.18 Median $389.05 Typical High $457.09 | Professional | AA · Anesthesiologist | $162.18 | $389.05 | $457.09 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $112.20 Median $257.04 Typical High $257.04 | Professional | QK · Directing 2–4 cases | $112.20 | $257.04 | $257.04 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $112.20 Median $354.81 Typical High $354.81 | Professional | QX · CRNA, directed | $112.20 | $354.81 | $354.81 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | QY · Directing one CRNA | $354.81 | $354.81 | $354.81 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $120.23 Median $389.05 Typical High $645.65 | Professional | QZ · CRNA, independent | $120.23 | $389.05 | $645.65 |
Moda Health Setting Professional Modifier P1 · Healthy patient Typical Low $100.00 Median $144.54 Typical High $281.84 | Professional | P1 · Healthy patient | $100.00 | $144.54 | $281.84 |
Moda Health Setting Professional Modifier P2 · Mild systemic disease Typical Low $95.50 Median $123.03 Typical High $239.88 | Professional | P2 · Mild systemic disease | $95.50 | $123.03 | $239.88 |
Moda Health Setting Professional Modifier QK · Directing 2–4 cases Typical Low $79.43 Median $112.20 Typical High $158.49 | Professional | QK · Directing 2–4 cases | $79.43 | $112.20 | $158.49 |
Moda Health Setting Professional Modifier QX · CRNA, directed Typical Low $83.18 Median $107.15 Typical High $147.91 | Professional | QX · CRNA, directed | $83.18 | $107.15 | $147.91 |