How much rates vary
Facilitymedian $933 · 10th to 90th $129 to $1,230Professionalmedian $550 · 10th to 90th $47 to $851
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 $128.82 Median $933.25 Typical High $1,230.27 | Facility | None | $128.82 | $933.25 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $1,000.00 | Professional | None | $47.86 | $47.86 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $831.76 | Professional | None | $616.60 | $616.60 | $831.76 |
CareSource Setting Professional Modifier None Typical Low $147.91 Median $158.49 Typical High $478.63 | Professional | None | $147.91 | $158.49 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $616.60 Typical High $1,000.00 | Professional | None | $407.38 | $616.60 | $1,000.00 |
Medical Mutual of Ohio Setting Professional Modifier None Typical Low $389.05 Median $575.44 Typical High $912.01 | Professional | None | $389.05 | $575.44 | $912.01 |
Molina Setting Professional Modifier None Typical Low $52.48 Median $102.33 Typical High $190.55 | Professional | None | $52.48 | $102.33 | $190.55 |
SummaCare Setting Professional Modifier None Typical Low $234.42 Median $549.54 Typical High $812.83 | Professional | None | $234.42 | $549.54 | $812.83 |
United Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $79.43 | Professional | None | $39.81 | $52.48 | $79.43 |
3 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 $371.54 Median $371.54 Typical High $1,479.11 | Professional | QK · Directing 2–4 cases | $371.54 | $371.54 | $1,479.11 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $371.54 Median $1,318.26 Typical High $1,479.11 | Professional | QX · CRNA, directed | $371.54 | $1,318.26 | $1,479.11 |
Aultcare Setting Professional Modifier QK · Directing 2–4 cases + QX · CRNA, directed Typical Low $426.58 Median $660.69 Typical High $758.58 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $426.58 | $660.69 | $758.58 |