How much rates vary
Facilitymedian $575 · 10th to 90th $550 to $794Professionalmedian $71 · 10th to 90th $47 to $1,514
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 $63.10 Median $575.44 Typical High $794.33 | Facility | None | $63.10 | $575.44 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $758.58 | Professional | None | $44.67 | $52.48 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,412.54 | $1,513.56 | $1,513.56 |
Health Alliance Plan Setting Facility Modifier None Typical Low $549.54 Median $575.44 Typical High $794.33 | Facility | None | $549.54 | $575.44 | $794.33 |
Health Alliance Plan Setting Professional Modifier None Typical Low $50.12 Median $52.48 Typical High $758.58 | Professional | None | $50.12 | $52.48 | $758.58 |
Priority Health Setting Professional Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | None | $1,513.56 | $1,513.56 | $1,513.56 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $77.62 | Professional | None | $41.69 | $53.70 | $77.62 |
3 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 $407.38 Median $407.38 Typical High $407.38 | Professional | QK · Directing 2–4 cases | $407.38 | $407.38 | $407.38 |
BCBS Setting Professional Modifier QX · CRNA, directed Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | QX · CRNA, directed | $416.87 | $416.87 | $416.87 |
BCBS Setting Professional Modifier QZ · CRNA, independent Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | QZ · CRNA, independent | $776.25 | $776.25 | $776.25 |