How much rates vary
Facilitymedian $871 · 10th to 90th $30 to $1,072Professionalmedian $724 · 10th to 90th $30 to $1,023
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 $870.96 Typical High $1,096.48 | Facility | None | $30.20 | $870.96 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $891.25 | Professional | None | $30.20 | $30.20 | $891.25 |
AmeriHealth Setting Professional Modifier None Typical Low $776.25 Median $812.83 Typical High $1,202.26 | Professional | None | $776.25 | $812.83 | $1,202.26 |
Capital Blue Cross Setting Professional Modifier None Typical Low $407.38 Median $758.58 Typical High $1,023.29 | Professional | None | $407.38 | $758.58 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $602.56 Typical High $933.25 | Professional | None | $457.09 | $602.56 | $933.25 |
Emblem Health Setting Professional Modifier None Typical Low $234.42 Median $977.24 Typical High $1,737.80 | Professional | None | $234.42 | $977.24 | $1,737.80 |
Independence Blue Cross Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $812.83 | Professional | None | $776.25 | $776.25 | $812.83 |
Martin's Point Setting Facility Modifier None Typical Low $30.20 Median $870.96 Typical High $1,071.52 | Facility | None | $30.20 | $870.96 | $1,071.52 |
Martin's Point Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $851.14 | Professional | None | $30.20 | $30.20 | $851.14 |
Oscar Health Setting Professional Modifier None Typical Low $10.96 Median $36.31 Typical High $77.62 | Professional | None | $10.96 | $36.31 | $77.62 |
United Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $75.86 | Professional | None | $34.67 | $54.95 | $75.86 |
10 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 $1,047.13 Median $1,047.13 Typical High $1,949.84 | Professional | AA · Anesthesiologist | $1,047.13 | $1,047.13 | $1,949.84 |
Geisinger Setting Professional Modifier AA · Anesthesiologist Typical Low $281.84 Median $630.96 Typical High $933.25 | Professional | AA · Anesthesiologist | $281.84 | $630.96 | $933.25 |
Geisinger Setting Professional Modifier AD · Supervising 5+ Typical Low $281.84 Median $630.96 Typical High $933.25 | Professional | AD · Supervising 5+ | $281.84 | $630.96 | $933.25 |
Geisinger Setting Professional Modifier QK · Directing 2–4 cases Typical Low $281.84 Median $630.96 Typical High $933.25 | Professional | QK · Directing 2–4 cases | $281.84 | $630.96 | $933.25 |
Geisinger Setting Professional Modifier QX · CRNA, directed Typical Low $281.84 Median $630.96 Typical High $933.25 | Professional | QX · CRNA, directed | $281.84 | $630.96 | $933.25 |
Geisinger Setting Professional Modifier QY · Directing one CRNA Typical Low $281.84 Median $630.96 Typical High $933.25 | Professional | QY · Directing one CRNA | $281.84 | $630.96 | $933.25 |
Geisinger Setting Professional Modifier QZ · CRNA, independent Typical Low $281.84 Median $630.96 Typical High $933.25 | Professional | QZ · CRNA, independent | $281.84 | $630.96 | $933.25 |
Highmark BCBS Setting Professional Modifier AA · Anesthesiologist Typical Low $870.96 Median $2,238.72 Typical High $4,365.16 | Professional | AA · Anesthesiologist | $870.96 | $2,238.72 | $4,365.16 |
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases Typical Low $1,584.89 Median $2,398.83 Typical High $3,467.37 | Professional | QK · Directing 2–4 cases | $1,584.89 | $2,398.83 | $3,467.37 |
Highmark BCBS Setting Professional Modifier QX · CRNA, directed Typical Low $1,174.90 Median $2,041.74 Typical High $3,630.78 | Professional | QX · CRNA, directed | $1,174.90 | $2,041.74 | $3,630.78 |