How much rates vary
Facilitymedian $339 · 10th to 90th $39 to $617Professionalmedian $234 · 10th to 90th $46 to $417
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 $47.86 Median $467.74 Typical High $616.60 | Facility | None | $47.86 | $467.74 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $501.19 | Professional | None | $44.67 | $47.86 | $501.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $416.87 | Professional | None | $309.03 | $309.03 | $416.87 |
CareSource Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $239.88 | Professional | None | $67.61 | $79.43 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $281.84 Typical High $457.09 | Professional | None | $186.21 | $281.84 | $457.09 |
Medical Mutual of Ohio Setting Facility Modifier None Typical Low $15.85 Median $158.49 Typical High $724.44 | Facility | None | $15.85 | $158.49 | $724.44 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $31.62 Median $186.21 Typical High $363.08 | Professional | None | $31.62 | $186.21 | $363.08 |
Molina Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $87.10 | Professional | None | $46.77 | $52.48 | $87.10 |
SummaCare Setting Professional Modifier None Typical Low $109.65 Median $257.04 Typical High $371.54 | Professional | None | $109.65 | $257.04 | $371.54 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $79.43 | Professional | None | $39.81 | $52.48 | $79.43 |
6 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 $181.97 Median $181.97 Typical High $181.97 | Professional | AA · Anesthesiologist | $181.97 | $181.97 | $181.97 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $81.28 Median $102.33 Typical High $128.82 | Professional | QK · Directing 2–4 cases | $81.28 | $102.33 | $128.82 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $91.20 Median $102.33 Typical High $128.82 | Professional | QX · CRNA, directed | $91.20 | $102.33 | $128.82 |
Ambetter Setting Professional Modifier QY · Directing one CRNA Typical Low $70.79 Median $70.79 Typical High $77.62 | Professional | QY · Directing one CRNA | $70.79 | $70.79 | $77.62 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $154.88 Median $251.19 Typical High $331.13 | Professional | QZ · CRNA, independent | $154.88 | $251.19 | $331.13 |
Aultcare Setting Professional Modifier QK · Directing 2–4 cases + QX · CRNA, directed Typical Low $138.04 Median $223.87 Typical High $346.74 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $138.04 | $223.87 | $346.74 |