How much rates vary
Facilitymedian $151 · 10th to 90th $151 to $151Professionalmedian $316 · 10th to 90th $42 to $1,660
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 $41.69 Median $50.12 Typical High $346.74 | Facility | None | $41.69 | $50.12 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $501.19 | Professional | None | $41.69 | $50.12 | $501.19 |
BCBS Texas Setting Professional Modifier None Typical Low $269.15 Median $338.84 Typical High $588.84 | Professional | None | $269.15 | $338.84 | $588.84 |
Baylor Scott & White Setting Professional Modifier None Typical Low $338.84 Median $407.38 Typical High $562.34 | Professional | None | $338.84 | $407.38 | $562.34 |
Christus Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $501.19 | Professional | None | $288.40 | $309.03 | $501.19 |
Health Smart Setting Professional Modifier None Typical Low $316.23 Median $363.08 Typical High $467.74 | Professional | None | $316.23 | $363.08 | $467.74 |
Lucent Health Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $3,388.44 | Professional | None | $1,659.59 | $1,659.59 | $3,388.44 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $295.12 Typical High $416.87 | Facility | None | $41.69 | $295.12 | $416.87 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $50.12 Typical High $512.86 | Professional | None | $41.69 | $50.12 | $512.86 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $134.90 Typical High $575.44 | Professional | None | $102.33 | $134.90 | $575.44 |
Oscar Health Setting Professional Modifier None Typical Low $10.72 Median $25.12 Typical High $54.95 | Professional | None | $10.72 | $25.12 | $54.95 |
Providence Setting Professional Modifier None Typical Low $288.40 Median $309.03 Typical High $478.63 | Professional | None | $288.40 | $309.03 | $478.63 |
United Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $75.86 | Professional | None | $47.86 | $54.95 | $75.86 |
Wellpoint Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
8 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 AA · Anesthesiologist Typical Low $223.87 Median $776.25 Typical High $1,047.13 | Professional | AA · Anesthesiologist | $223.87 | $776.25 | $1,047.13 |
Ambetter Setting Professional Modifier QK · Directing 2–4 cases Typical Low $426.58 Median $457.09 Typical High $524.81 | Professional | QK · Directing 2–4 cases | $426.58 | $457.09 | $524.81 |
Ambetter Setting Professional Modifier QX · CRNA, directed Typical Low $426.58 Median $489.78 Typical High $524.81 | Professional | QX · CRNA, directed | $426.58 | $489.78 | $524.81 |
Ambetter Setting Professional Modifier QZ · CRNA, independent Typical Low $851.14 Median $1,174.90 Typical High $1,479.11 | Professional | QZ · CRNA, independent | $851.14 | $1,174.90 | $1,479.11 |
Moda Health Setting Professional Modifier P3 · Severe systemic disease Typical Low $41.69 Median $114.82 Typical High $229.09 | Professional | P3 · Severe systemic disease | $41.69 | $114.82 | $229.09 |
Moda Health Setting Professional Modifier QK · Directing 2–4 cases Typical Low $60.26 Median $83.18 Typical High $141.25 | Professional | QK · Directing 2–4 cases | $60.26 | $83.18 | $141.25 |
Moda Health Setting Professional Modifier QX · CRNA, directed Typical Low $60.26 Median $95.50 Typical High $158.49 | Professional | QX · CRNA, directed | $60.26 | $95.50 | $158.49 |
Moda Health Setting Professional Modifier QZ · CRNA, independent Typical Low $123.03 Median $229.09 Typical High $436.52 | Professional | QZ · CRNA, independent | $123.03 | $229.09 | $436.52 |