How much rates vary
Facilitymedian $30 · 10th to 90th $30 to $62Professionalmedian $62 · 10th to 90th $30 to $871
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 $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $933.25 | Professional | None | $30.20 | $30.20 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $549.54 Typical High $1,122.02 | Professional | None | $416.87 | $549.54 | $1,122.02 |
United Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $81.28 | Professional | None | $42.66 | $54.95 | $81.28 |
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 |
|---|---|---|---|---|---|
Highmark BCBS Setting Professional Modifier QK · Directing 2–4 cases + QX · CRNA, directed Typical Low $1,412.54 Median $1,698.24 Typical High $5,623.41 | Professional | QK · Directing 2–4 cases + QX · CRNA, directed | $1,412.54 | $1,698.24 | $5,623.41 |