How much rates vary
Facilitymedian $813 · 10th to 90th $30 to $1,047Professionalmedian $501 · 10th to 90th $44 to $1,259
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 $30.20 Median $812.83 Typical High $1,047.13 | Facility | None | $30.20 | $812.83 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $1,412.54 | Professional | None | $30.20 | $47.86 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $1,318.26 | Professional | None | $380.19 | $537.03 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $1,584.89 | Professional | None | $645.65 | $977.24 | $1,584.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $537.03 Median $1,230.27 Typical High $1,862.09 | Professional | None | $537.03 | $1,230.27 | $1,862.09 |
Oscar Health Setting Professional Modifier None Typical Low $19.50 Median $31.62 Typical High $79.43 | Professional | None | $19.50 | $31.62 | $79.43 |
United Setting Professional Modifier None Typical Low $52.48 Median $75.86 Typical High $97.72 | Professional | None | $52.48 | $75.86 | $97.72 |
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 |
|---|---|---|---|---|---|
Kaiser Permanente Setting Professional Modifier QK · Directing 2–4 cases Typical Low $263.03 Median $588.84 Typical High $912.01 | Professional | QK · Directing 2–4 cases | $263.03 | $588.84 | $912.01 |
Kaiser Permanente Setting Professional Modifier QX · CRNA, directed Typical Low $263.03 Median $588.84 Typical High $912.01 | Professional | QX · CRNA, directed | $263.03 | $588.84 | $912.01 |