How much rates vary
Facilitymedian $324 · 10th to 90th $30 to $7,413Professionalmedian $182 · 10th to 90th $42 to $447
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 Facility Modifier None Typical Low $30.20 Median $288.40 Typical High $371.54 | Facility | None | $30.20 | $288.40 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $501.19 | Professional | None | $30.20 | $47.86 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $134.90 Median $190.55 Typical High $467.74 | Professional | None | $134.90 | $190.55 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $302.00 Typical High $489.78 | Professional | None | $199.53 | $302.00 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $190.55 Median $436.52 Typical High $660.69 | Professional | None | $190.55 | $436.52 | $660.69 |
Oscar Health Setting Facility Modifier None Typical Low $3,235.94 Median $5,495.41 Typical High $7,413.10 | Facility | None | $3,235.94 | $5,495.41 | $7,413.10 |
Oscar Health Setting Professional Modifier None Typical Low $7.08 Median $30.90 Typical High $79.43 | Professional | None | $7.08 | $30.90 | $79.43 |
United Setting Professional Modifier None Typical Low $52.48 Median $75.86 Typical High $97.72 | Professional | None | $52.48 | $75.86 | $97.72 |
4 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 QK · Directing 2–4 cases Typical Low $63.10 Median $338.84 Typical High $457.09 | Professional | QK · Directing 2–4 cases | $63.10 | $338.84 | $457.09 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $61.66 Median $173.78 Typical High $512.86 | Professional | QX · CRNA, directed | $61.66 | $173.78 | $512.86 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $61.66 Median $61.66 Typical High $281.84 | Professional | QY · Directing one CRNA | $61.66 | $61.66 | $281.84 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $123.03 Median $125.89 Typical High $912.01 | Professional | QZ · CRNA, independent | $123.03 | $125.89 | $912.01 |