How much rates vary
Facilitymedian $309 · 10th to 90th $30 to $617Professionalmedian $69 · 10th to 90th $30 to $372
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 $30.20 Median $302.00 Typical High $616.60 | Facility | None | $30.20 | $302.00 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $34.67 Typical High $478.63 | Professional | None | $30.20 | $34.67 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $199.53 Typical High $457.09 | Professional | None | $181.97 | $199.53 | $457.09 |
Oscar Health Setting Facility Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Facility | None | $9,120.11 | $9,120.11 | $9,120.11 |
Oscar Health Setting Professional Modifier None Typical Low $6.61 Median $37.15 Typical High $89.13 | Professional | None | $6.61 | $37.15 | $89.13 |
United Setting Professional Modifier None Typical Low $39.81 Median $63.10 Typical High $100.00 | Professional | None | $39.81 | $63.10 | $100.00 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $48.98 Median $77.62 Typical High $354.81 | Professional | QK · Directing 2–4 cases | $48.98 | $77.62 | $354.81 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $120.23 Median $120.23 Typical High $218.78 | Professional | QZ · CRNA, independent | $120.23 | $120.23 | $218.78 |