How much rates vary
Facilitymedian $631 · 10th to 90th $30 to $832Professionalmedian $398 · 10th to 90th $43 to $1,000
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 $630.96 Typical High $831.76 | Facility | None | $30.20 | $630.96 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $1,122.02 | Professional | None | $30.20 | $47.86 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $1,023.29 | Professional | None | $295.12 | $416.87 | $1,023.29 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $758.58 Typical High $1,202.26 | Professional | None | $501.19 | $758.58 | $1,202.26 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $954.99 Typical High $1,445.44 | Professional | None | $416.87 | $954.99 | $1,445.44 |
Oscar Health Setting Professional Modifier None Typical Low $17.78 Median $30.90 Typical High $79.43 | Professional | None | $17.78 | $30.90 | $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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $346.74 Median $912.01 Typical High $1,071.52 | Professional | QK · Directing 2–4 cases | $346.74 | $912.01 | $1,071.52 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $380.19 Median $912.01 Typical High $1,071.52 | Professional | QX · CRNA, directed | $380.19 | $912.01 | $1,071.52 |