How much rates vary
Facilitymedian $794 · 10th to 90th $501 to $1,259Professionalmedian $52 · 10th to 90th $22 to $1,148
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 $501.19 Median $794.33 Typical High $1,258.93 | Facility | None | $501.19 | $794.33 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $776.25 Typical High $1,258.93 | Professional | None | $50.12 | $776.25 | $1,258.93 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $1,071.52 Typical High $1,148.15 | Professional | None | $977.24 | $1,071.52 | $1,148.15 |
Hally Health Setting Professional Modifier None Typical Low $588.84 Median $707.95 Typical High $1,148.15 | Professional | None | $588.84 | $707.95 | $1,148.15 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $3,162.28 | Professional | None | $45.71 | $61.66 | $3,162.28 |
Oscar Health Setting Professional Modifier None Typical Low $19.50 Median $23.99 Typical High $47.86 | Professional | None | $19.50 | $23.99 | $47.86 |
United Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $85.11 | Professional | None | $44.67 | $54.95 | $85.11 |
Wellmark Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,202.26 | Professional | None | $954.99 | $954.99 | $1,202.26 |
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 |
|---|---|---|---|---|---|
Wellmark Setting Professional Modifier QX · CRNA, directed Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | QX · CRNA, directed | $602.56 | $602.56 | $602.56 |