How much rates vary
Facilitymedian $617 · 10th to 90th $398 to $977Professionalmedian $52 · 10th to 90th $21 to $871
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 $398.11 Median $616.60 Typical High $977.24 | Facility | None | $398.11 | $616.60 | $977.24 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $562.34 Typical High $977.24 | Professional | None | $47.86 | $562.34 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $812.83 Typical High $870.96 | Professional | None | $758.58 | $812.83 | $870.96 |
Hally Health Setting Professional Modifier None Typical Low $467.74 Median $549.54 Typical High $891.25 | Professional | None | $467.74 | $549.54 | $891.25 |
Medica Setting Professional Modifier None Typical Low $45.71 Median $61.66 Typical High $2,454.71 | Professional | None | $45.71 | $61.66 | $2,454.71 |
Oscar Health Setting Professional Modifier None Typical Low $17.78 Median $23.44 Typical High $47.86 | Professional | None | $17.78 | $23.44 | $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 $758.58 Median $758.58 Typical High $933.25 | Professional | None | $758.58 | $758.58 | $933.25 |
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 $467.74 Median $467.74 Typical High $467.74 | Professional | QX · CRNA, directed | $467.74 | $467.74 | $467.74 |