How much rates vary
Facilitymedian $50 · 10th to 90th $50 to $50Professionalmedian $129 · 10th to 90th $48 to $282
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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $512.86 | Professional | None | $40.74 | $47.86 | $512.86 |
BCBS Setting Professional Modifier None Typical Low $128.82 Median $263.03 Typical High $281.84 | Professional | None | $128.82 | $263.03 | $281.84 |
Molina Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $177.83 | Professional | None | $109.65 | $109.65 | $177.83 |
Providence Setting Professional Modifier None Typical Low $251.19 Median $489.78 Typical High $616.60 | Professional | None | $251.19 | $489.78 | $616.60 |
United Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $79.43 | Professional | None | $38.02 | $54.95 | $79.43 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | QX · CRNA, directed | $87.10 | $87.10 | $87.10 |